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General NPI Number Information
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NPI Number | 1447671250
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Entity Type | Organization
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Legal Business Name | PAULA LUNA COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 3432 ASHLAND AVE
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-1333
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Country | US
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Telephone | 660-491-5667
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Fax |
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Provider Business Mailing Address
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Address Line | 609 HIGH ST
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City | MOUND CITY
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State | MO
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Zip | 64470-1315
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Country | US
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Telephone | 660-491-5667
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAULA LUNA
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Credential | M.S.ED., LPC
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Telephone | 660-491-5667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2011015152
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License Number State | MO
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