Individual
CATALINA DE LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, MSE
Contact information
Practice address
1478 KENWOOD DR STE 1, MENASHA, WI 54952-1161
(920) 886-9319
(920) 886-9357
Mailing address
1478 KENWOOD DR STE 1, MENASHA, WI 54952-1161
(920) 886-9319
(920) 886-9357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4484-226
WI
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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