Provider Demographics
NPI:1417737420
Name:TRUJILLO, REBECCA (LMFT-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:TRUJILLO
Suffix:
Gender:F
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 1/2 E NORTH 15TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-3702
Mailing Address - Country:US
Mailing Address - Phone:325-660-7990
Mailing Address - Fax:
Practice Address - Street 1:500 CHESTNUT ST STE 300
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-1432
Practice Address - Country:US
Practice Address - Phone:877-942-2239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205218106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist