Individual
THOMAS ANTHONY TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4011 BARBARA LOOP SE STE 103, RIO RANCHO, NM 87124-1040
(505) 715-4322
Mailing address
4011 BARBARA LOOP SE STE 103, RIO RANCHO, NM 87124-1040
(505) 715-4322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M-10965
NM
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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