Individual provider · Type 1 NPI

Michael David Luster, L.P.C.

Professional Counselor · Phoenix, AZ

NPI number 1164588489 Active

Practice location

15650 N Black Canyon Hwy, B 130
Phoenix, AZ 85053-4064

Fax (602) 548-3112

Mailing address

6708 W Utopia Rd
Glendale, AZ 85308-5507

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XL.P.C 2479 (AZ)

Professional Counselor: Definition to come...

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About NPI 1164588489

Michael David Luster, L.P.C.'s National Provider Identifier is 1164588489, issued on Dec 29, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.