Provider Demographics
NPI:1659098341
Name:TRUJILLO, LIZETTE
Entity Type:Individual
Prefix:
First Name:LIZETTE
Middle Name:
Last Name:TRUJILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1929 OXFORD CT
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-2184
Mailing Address - Country:US
Mailing Address - Phone:831-771-8555
Mailing Address - Fax:831-443-3967
Practice Address - Street 1:1929 OXFORD CT
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-2184
Practice Address - Country:US
Practice Address - Phone:831-771-8555
Practice Address - Fax:831-443-3967
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes174H00000XOther Service ProvidersHealth Educator