Individual
JASMINE LUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1499 LYNWOOD DR STE C, LANCASTER, SC 29720-0964
(843) 376-1806
(888) 552-1363
Mailing address
PO BOX 61237, RALEIGH, NC 27661-1237
(843) 376-1806
(888) 552-1363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
6747
SC
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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