MR. Derrick Ernest Thompson JR.

NPI #1568752368 in Plainville, Connecticut

Provider Information

NPI Number: 1568752368
Entity Type: Individual
Name: MR. Derrick Ernest Thompson JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 13, 2011
Last Updated: Apr 13, 2011

Practice Location

Address: 91 NORTHWEST DR
City: Plainville
State: Connecticut
ZIP Code: 06062-1534
Phone: (888) 793-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X

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