Provider Demographics
NPI:1437354057
Name:LUNA, NORMA (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:
Last Name:LUNA
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16300 CHRISTENSEN RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-3419
Mailing Address - Country:US
Mailing Address - Phone:425-254-1302
Mailing Address - Fax:
Practice Address - Street 1:16300 CHRISTENSEN RD
Practice Address - Street 2:SUITE 108
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3419
Practice Address - Country:US
Practice Address - Phone:425-254-1302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00000976106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist