Provider Demographics
NPI:1801166160
Name:LUNA, VERLIN GEORGE JR (LPC)
Entity type:Individual
Prefix:MR
First Name:VERLIN
Middle Name:GEORGE
Last Name:LUNA
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:101 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-5843
Mailing Address - Country:US
Mailing Address - Phone:573-686-5090
Mailing Address - Fax:573-785-0744
Practice Address - Street 1:101 S MAIN ST
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-5843
Practice Address - Country:US
Practice Address - Phone:573-686-5090
Practice Address - Fax:573-785-0744
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2000174210101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health