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NPI Code Detail

MEDICARE: MRS. GUADALUPE TRUJILLO LEDESMA M.S.

MEDICARE: MRS. GUADALUPE TRUJILLO LEDESMA M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1073662599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GUADALUPE TRUJILLO LEDESMA M.S.
Provider Business Mailing Address
First Line : 4545 N WEST AVE
Second Line :
City : FRESNO
State : CA
Zip : 93705-0946
Country : US
Telephone Number : 559-229-3561
Fax Number :
Provider Business Practice Location Address
First Line : 4545 N WEST AVE
Second Line :
City : FRESNO
State : CA
Zip : 93705-0946
Country : US
Telephone Number : 559-229-3561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 03/17/2018

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Directions to “ MRS. GUADALUPE TRUJILLO LEDESMA M.S.” Practice Location

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