MR. Shannon Richard Luster, B.A.

NPI #1073821708 in Fairbanks, Alaska

Provider Information

NPI Number
1073821708
Entity Type
Individual
Name
MR. Shannon Richard Luster, B.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
B.A.
Enumeration Date
Sep 15, 2010
Last Updated
Sep 15, 2010

Practice Location

Address
3830 S CUSHMAN ST
State
Alaska
ZIP Code
99701-7530
Phone
(907) 452-1575

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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