Dejesus, Edwin

Dejesus, Edwin is an sole proprietor health care provider with primary practice located at 31 Peyton Pl , Middletown CT 06457-2339. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Dejesus, Edwin can be contacted via phone (860) 716-3081.

Contact Information

Primary practice address
31 Peyton Pl Middletown CT 06457-2339
Phone: (860) 716-3081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 003609 Connecticut

Profile Details

NPI number 1801439427
LBN Legal business name Dejesus, Edwin
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2019
Last updated Oct 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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