Individual
MARGIE TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPCC
Contact information
Practice address
555 S SCHWARTZ AVE, FARMINGTON, NM 87401-5955
(505) 609-6680
(505) 325-1722
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1183
NM
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
1183
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A0035
—
NM
Enumeration date
03/21/2006
Last updated
09/14/2018
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