Provider Demographics
NPI:1851757611
Name:LUNA, SALVADOR JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SALVADOR
Middle Name:
Last Name:LUNA
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 MCGREGOR DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-4445
Mailing Address - Country:US
Mailing Address - Phone:936-404-9564
Mailing Address - Fax:
Practice Address - Street 1:617 S 1ST ST
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-3933
Practice Address - Country:US
Practice Address - Phone:936-249-6160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical