| Licia Lee Luna, | |
|
8352 Church St, Suite C, Gilroy, CA 95020-4449 | |
| (408) 848-6511 | |
| Not Available |
| Full Name | Licia Lee Luna |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 8352 Church St, Gilroy, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922319979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFC 52440 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Licia Lee Luna, Po Box 623, Campbell, CA 95009-0623 Ph: (831) 359-6627 | Licia Lee Luna, 8352 Church St, Suite C, Gilroy, CA 95020-4449 Ph: (408) 848-6511 |
Sandra Ivonne Alvarez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 290 Ioof Ave, Gilroy, CA 95020 Phone: 408-871-4900 | |
Yen Hoang Duong, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9015 Murray Ave, Gilroy, CA 95020 Phone: 408-842-7138 Fax: 408-842-0383 | |
Mrs. Vanessa Mariangela Sutter, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6980 Chestnut St, Gilroy, CA 95020 Phone: 408-846-4779 | |
Neal Allen Dinsmore, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Rebekah Children's Services, 290 Ioof Ave., Gilroy, CA 95020 Phone: 408-722-7087 | |
Margie Allen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7810 Arroyo Cir, Gilroy, CA 95020 Phone: 831-524-5669 | |
Paul Daniel Hickey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6980 Chestnut St, Gilroy, CA 95020 Phone: 408-776-6201 Fax: 408-778-9672 | |
Jennifer Lynn Price, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9015 Murray Ave, Gilroy, CA 95020 Phone: 408-842-7138 |