Individual
MRS. BONNIE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. LPC, CCTP
Contact information
Practice address
66 HONOR CT, LAKE SAINT LOUIS, MO 63367-6479
(636) 344-0370
Mailing address
66 HONOR CT, LAKE SAINT LOUIS, MO 63367-6479
(636) 344-0370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013107097
MO
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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