Provider Demographics
NPI:1003330309
Name:LUNA, LUIS KASHDARO (LPC)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:KASHDARO
Last Name:LUNA
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 FINCH
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-4164
Mailing Address - Country:US
Mailing Address - Phone:720-295-0507
Mailing Address - Fax:
Practice Address - Street 1:516 FINCH
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-4164
Practice Address - Country:US
Practice Address - Phone:720-295-0507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016672101YP2500X
COLPCC.0016431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional