Individual
MS. PHYLLIS B LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1902 BINDEL ST, CARLSBAD, NM 88220-6505
(505) 628-1498
(505) 746-9840
Mailing address
1902 BINDEL ST, CARLSBAD, NM 88220-6505
(505) 628-1498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3786
NM
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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