Individual
MEGHAN TRUJILLO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
1227 N RAILROAD AVE STE C, ESPANOLA, NM 87532-3159
(505) 423-3353
Mailing address
PO BOX 178, ALCALDE, NM 87511-0178
(505) 423-3353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0210881
NM
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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