MR. SHANNON RICHARD LUSTER B.A. - NPI 1073821708

Q: What is Shannon Luster's NPI number?

The NPI number for Shannon Luster is 1073821708. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Q: What is Shannon Luster's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Luster was last updated on September 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Shannon Richard Luster B.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANNON RICHARD LUSTER B.A. (NPI 1073821708) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1073821708

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. SHANNON RICHARD LUSTERCredential: B.A.

Location Address3830 S CUSHMAN STFairbanks, AK 99701-7530

Mailing AddressPo Box 60863Fairbanks, AK 99706-0863 · (907) 474-4908

Phone(907) 452-1575

Fax(907) 455-1460

Sole ProprietorYes

Enumeration DateSeptember 15, 2010

✔ NPI 1073821708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3830 S CUSHMAN ST, Fairbanks, AK 99701

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT MITCHELL RICKSON JR.

Counselor (Mental Health)