Provider Demographics
NPI:1891051496
Name:TRUJILLO GARCIA, ALEJANDRA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ALEJANDRA
Middle Name:
Last Name:TRUJILLO GARCIA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:ALEJANDRA
Other - Middle Name:
Other - Last Name:TRUJILLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:11145 TAMPA AVE STE 15A
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-2265
Mailing Address - Country:US
Mailing Address - Phone:818-468-7622
Mailing Address - Fax:818-428-1561
Practice Address - Street 1:11145 TAMPA AVE STE 15A
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91326-2265
Practice Address - Country:US
Practice Address - Phone:818-468-7622
Practice Address - Fax:818-428-1561
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT88039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist