MR. SHANNON RICHARD LUSTER B.A. NPI 1073821708

NPI Information

NPI: 1073821708
Provider Name: MR. SHANNON RICHARD LUSTER, B.A.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3830 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-1575
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MR. Shannon Richard Luster, B.A. is a mental health counselor in Fairbanks, AK. MR. Shannon Richard Luster, B.A. NPI is 1073821708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3830 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701-530
Phone: (907) 452-1575
Fax: (907) 455-1460

The enumeration date for this NPI number is 9/15/2010 and was last updated on 9/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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