Individual
RAQUEL LUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17932 FRALEY BLVD STE 240, DUMFRIES, VA 22026-2456
(571) 636-1800
Mailing address
68 WATKINS PARK DR UNIT 4645, UPPER MARLBORO, MD 20774-9996
(571) 303-9044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013434
VA
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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