Individual
TANYA JOY TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC II
Contact information
Practice address
101 JACKSON ST, LOWELL, MA 01852-2103
(978) 459-8656
Mailing address
101 JACKSON ST, LOWELL, MA 01852-2103
(978) 459-8656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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