Organization
LUNA COUNSELING, LLC
Active
Parent organization
LUNA COUNSELING, LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUNA COUNSELING, LLP
Authorized official
MR. ANDREW THOMASSON (PROGRAM DIRECTOR)
(970) 531-6173
Entity
Organization
Contact information
Practice address
79050 US HIGHWAY 40, WINTER PARK, CO 80482
(970) 531-6173
Mailing address
PO BOX 964, GRAND LAKE, CO 80447-0964
(970) 531-6173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1655-00
CO
251S00000X
Community/Behavioral Health Agency
Primary
1655-01
CO
Other
Enumeration date
04/27/2016
Last updated
01/11/2017
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