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NPI Code Detail

MEDICARE: MARISABEL TRUJILLO LPC

MEDICARE: MARISABEL TRUJILLO LPC
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 Counselor12322-125WI

General Provider Information

NPI Number : 1851172456
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISABEL TRUJILLO LPC
Provider Business Mailing Address
First Line : 3501 S LAKE DR
Second Line :
City : ST FRANCIS
State : WI
Zip : 53235-0900
Country : US
Telephone Number : 414-769-3400
Fax Number : 262-637-0695
Provider Business Practice Location Address
First Line : 2021 N 60TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-1641
Country : US
Telephone Number : 414-771-2881
Fax Number : 414-771-1674
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2023
Last Update Date : 04/02/2026

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Directions to “ MARISABEL TRUJILLO LPC” Practice Location

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