Provider Demographics
NPI:1689466138
Name:LUNA-GAMEZ, SUSANA
Entity type:Individual
Prefix:MRS
First Name:SUSANA
Middle Name:
Last Name:LUNA-GAMEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 JASMINE ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2304
Mailing Address - Country:US
Mailing Address - Phone:805-385-1581
Mailing Address - Fax:
Practice Address - Street 1:2201 JASMINE ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2304
Practice Address - Country:US
Practice Address - Phone:805-385-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YS0200X
240199537101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool