person
Shannon B Trujillo, LPCC,LADAC
Mental Health Counselor in Farmington, New Mexico
NPI 1598997876

Shannon B Trujillo is a Mental Health Counselor based in Farmington, NM and is specialized in Mental Health. Shannon B Trujillo practices in Farmington, NM and has the professional credentials of LPCC,LADAC. The NPI Number for Shannon B Trujillo is 1598997876 and holds a License No. 0089231 (New Mexico).

The current practice location address for Shannon B Trujillo is 650 W Main St, Farmington, NM and can be reached out via phone at 505-787-2616.

Location: 650 W Main St, Farmington, NM, 87401-8513
person
Provider Profile Details
NPI Number
1598997876
Provider Name
Shannon B Trujillo
Credential
LPCC,LADAC
Provider Entity Type
Individual
Gender
Female
Address
650 W Main St, Farmington, NM, 87401-8513
Phone Number
505-787-2616
Fax Number
Provider Enumeration Date
08/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40803520 05 NM
institution
Provider Business Practice Location Address Details
Address
650 W Main St
City
State
Zip
87401-8445
Phone Number
505-787-2616
Fax Number
person
Provider Business Mailing Address Details
Address
650 W Main St
City
State
Zip
87401-8445
Phone Number
505-787-2616
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CCMH0197421 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0089231 (New Mexico)
Definition
Definition to come...
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