Individual
RANDALL LUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCAC II, CSAC, SAP
Contact information
Practice address
355 RIO RD W, SUITE 203, CHARLOTTESVILLE, VA 22901-1362
(434) 282-2294
(434) 282-2644
Mailing address
355 RIO RD W, SUITE 203, CHARLOTTESVILLE, VA 22901-1362
(434) 282-2294
(434) 282-2644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/31/2015
Last updated
07/22/2015
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