Provider Demographics
NPI:1598389066
Name:TREJO, FATIMA KARINA CELAYA (LPC)
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:KARINA CELAYA
Last Name:TREJO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:FATIMA
Other - Middle Name:KARINA
Other - Last Name:CELAYA-TREJO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:5257 N VIA LA DONCELLA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-7074
Mailing Address - Country:US
Mailing Address - Phone:520-891-4294
Mailing Address - Fax:
Practice Address - Street 1:7750 E BROADWAY BLVD STE A100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3901
Practice Address - Country:US
Practice Address - Phone:520-449-8555
Practice Address - Fax:520-795-4981
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-17736101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional