Organization
LUNA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRI J BALLARD LPCC (CLINICAL MENTAL HEALTH COUNSELOR)
(505) 310-1876
Entity
Organization
Contact information
Practice address
1421 LUISA ST, SANTA FE, NM 87505-4073
(505) 310-1876
Mailing address
1421 LUISA ST STE O, SANTA FE, NM 87505-4073
(505) 310-1876
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0188661
NM
Other
Enumeration date
03/29/2014
Last updated
04/18/2017
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