Individual
KATHERINE M LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CMII
Contact information
Practice address
3015 E SKELLY DR, TULSA, OK 74105-6317
(918) 280-8602
Mailing address
PO BOX 35031, TULSA, OK 74153-0031
(918) 280-8602
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
5797
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467716209
—
OK
Enumeration date
06/26/2012
Last updated
07/10/2020
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