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NPI Code Detail

MEDICARE: MRS. KRYSTAL ZAMORA LUNA LMSW, CSW INTERN

MEDICARE: MRS. KRYSTAL ZAMORA LUNA LMSW, CSW INTERN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor8648-MNV
2101YM0800XMental Health CounselorIC-2345NV

General Provider Information

NPI Number : 1508634213
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRYSTAL ZAMORA LUNA LMSW, CSW INTERN
Provider Business Mailing Address
First Line : 4538 W CRAIG RD STE 290
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89032-2511
Country : US
Telephone Number : 702-486-0012
Fax Number :
Provider Business Practice Location Address
First Line : 4538 W CRAIG RD STE 290
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89032-2511
Country : US
Telephone Number : 702-486-0012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2023
Last Update Date : 12/10/2025

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