Individual
MICHAEL DAVID LUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
15650 N BLACK CANYON HWY, B 130, PHOENIX, AZ 85053-4064
(602) 548-8733
(602) 548-3112
Mailing address
6708 W UTOPIA RD, GLENDALE, AZ 85308-5507
(623) 566-0398
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L.P.C 2479
AZ
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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