| Susan Luna, Lpcc Llc | |
|
3221 B Candelaria Ne Albuquerque NM 87107 | |
| (505) 819-9893 | |
| Not Available |
| Full Name | Susan Luna, Lpcc Llc |
|---|---|
| Speciality | Counselor |
| Location | 3221 B Candelaria Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Susan Luna (OWNER) |
| Authorized Official Contact | 5058199893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Luna, Lpcc Llc Po Box 11364 Albuquerque NM 87192-0364 Ph: (505) 819-9893 | Susan Luna, Lpcc Llc 3221 B Candelaria Ne Albuquerque NM 87107 Ph: (505) 819-9893 |
| NPI Number | 1679138861 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Medicare PECOS PAC ID | 6608228895 |
|---|---|
| Medicare Enrollment ID | O20240124000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679138861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Susan Luna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922362615 PECOS PAC ID: 2769834951 Enrollment ID: I20240124000577 |
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