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Contact Information

CARL R TRUJILLO, M.S., LADAC, LMHC
1900 E. 10TH STREET
ALAMOGORDO, NM88310
 Phone: 575-437-7404
 Fax: 575-439-2860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CARL R TRUJILLO · (Male)

NPI # 1093722100
Status Active
Credentials M.S., LADAC, LMHC
Entity Individual
Enumeration date 08/02/2006
Last updated 02/18/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 0075251
  • NM License # 4370
  • NM Medicaid 18677037
  • NM Medicaid 83609750
  • NM Medicaid 96675551
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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