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Individual

MR. CARL REY TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., LADAC, LMHC

Contact information

Practice address
1900 E. 10TH STREET, ALAMOGORDO, NM 88310
(575) 437-7404
(575) 439-2860
Mailing address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2800
(575) 647-2898

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0075251
NM
101YM0800X
Mental Health Counselor
Primary
4370
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18677037
NM
05
83609750
NM
05
96675551
NM
Enumeration date
08/02/2006
Last updated
02/18/2015
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