Individual
GABRIEL TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
654 RED BUD RD NE STE 4, CALHOUN, GA 30701-1963
(678) 383-0636
Mailing address
654 RED BUD RD NE STE 4, CALHOUN, GA 30701-1963
(678) 383-0636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649678939
—
GA
Enumeration date
12/18/2014
Last updated
12/06/2023
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