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Organization
FRESH FOCUS INNOVATIONS, LLC
Active
Organization
FRESH FOCUS INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE LUSTER LPC (PRESIDENT)
(803) 816-2155
Entity
Organization
Contact information
Practice address
4921 BRIDLE PATH LN, GREENVILLE, SC 29615-3615
(803) 816-2155
Mailing address
8520 BEAVER CREEK DR, CHARLOTTE, NC 28269-2821
(864) 567-6057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
10/03/2019
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