Individual
MRS. LILIANA RUTH TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LASAC
Contact information
Practice address
40 E MITCHELL DR, SUITE 100 & 200, PHOENIX, AZ 85012-2330
(602) 808-2800
(602) 599-5711
Mailing address
202 E. EARLL DR., SUITE 200, PHOENIX, AZ 85012-2647
(602) 808-2800
(602) 599-5711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-13232
AZ
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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