Trinity Dejesus

Individual provider Active NPI Professional Counselor · East Granby, CT

NPI 1124940267 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1124940267
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
19 S Main St Unit B
East Granby, CT 06026-9550
Phone
(860) 385-2065
NPI assigned
Jul 29, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

19 S Main St Unit B
East Granby, CT 06026-9550

Mailing address

14 Harvest LN
East Granby, CT 06026-8707

Other providers in East Granby, CT

All providers in East Granby, CT · Professional Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.