person
Mr. Shannon Richard Luster, BA
Mental Health Counselor in Fairbanks, Alaska
NPI 1073821708

Shannon Richard Luster is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Shannon Richard Luster practices in Fairbanks, AK and has the professional credentials of BA. The NPI Number for Shannon Richard Luster is 1073821708 and holds a License No. (Alaska).

The current practice location address for Shannon Richard Luster is 3830 S Cushman St, Fairbanks, AK and can be reached out via phone at 907-452-1575 and via fax at 907-455-1460. You can also correspond with Shannon Richard Luster through the mailing address at PO BOX 60863, FAIRBANKS, AK - 99706-0863 (mailing address contact number: 907-474-4908).

Location: 3830 S Cushman St, Fairbanks, AK, 99706-0863
person
Provider Profile Details
NPI Number
1073821708
Provider Name
Shannon Richard Luster
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
3830 S Cushman St, Fairbanks, AK, 99706-0863
Phone Number
907-452-1575
Fax Number
907-455-1460
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-452-1575
Fax Number
907-455-1460
person
Provider Business Mailing Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-452-1575
Fax Number
907-455-1460
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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