| Doctor Name: | MR. CARL REY TRUJILLO |
| NPI Number: | 1093722100 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., LADAC, LMHC |
| License Number: | 0075251 |
| Business Practice Address: | 1900 E. 10th Street Alamogordo, NM - 88310 |
| Business Phone Number: | 5754377404 |
| Business Fax Number: | 5754392860 |
| Mailing Address: | 100 W Griggs Ave, LAS CRUCES |
| State: | NM |
| Postal Code: | 880011234 |
| Phone Number: | 5756472800 |
| Fax Number: | 5756472898 |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0075251 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |