| Luna Counseling, Llc | |
|
191 East Agate Ave. Granby CO 80446 | |
| (970) 531-6173 | |
| (970) 887-2293 |
| Full Name | Luna Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 191 East Agate Ave., Granby, Colorado |
| Authorized Official Name and Position | Andrew Thomasson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9705316173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Counseling, Llc Po Box 964 Grand Lake CO 80447-0964 Ph: () - | Luna Counseling, Llc 191 East Agate Ave. Granby CO 80446 Ph: (970) 531-6173 |
| NPI Number | 1982925897 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 01/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982925897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1655-00 (Colorado) | Secondary |
| 251S00000X | Community/behavioral Health | 165500 (Colorado) | Primary |
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