Individual
JAYME LUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 N GLEN PARK PLACE RD STE B, PEORIA, IL 61614-4685
(217) 714-7042
Mailing address
4204 N PROSPECT RD, PEORIA, IL 61614-7755
(309) 740-7234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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