Individual
AMANDA LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12459 LEWIS ST STE 201, GARDEN GROVE, CA 92840-6606
(800) 249-1266
Mailing address
12459 LEWIS ST STE 201, GARDEN GROVE, CA 92840-6606
(800) 249-1266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1430990521
CA
Other
Enumeration date
07/24/2019
Last updated
04/09/2025
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