Individual
MR. THOMAS CHARLES LUSTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC-C
Contact information
Practice address
343 BIRCH POINT RD, WISCASSET, ME 04578-4900
(207) 882-6594
(207) 687-2233
Mailing address
343 BIRCH POINT RD, WISCASSET, ME 04578-4900
(207) 882-6594
(207) 687-2233
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL4071
ME
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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