Doctor Name: | MS. MARTHA V BUSTERNA |
NPI Number: | 1396771465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED LPC |
License Number: | 2151 |
Business Practice Address: | 105 Vine Crest Court Suite 300 Greenwood, SC - 29646 |
Business Phone Number: | 8642235111 |
Business Fax Number: | 8642239245 |
Mailing Address: | 105 Vine Crest Court, Suite 700 GREENWOOD |
State: | SC |
Postal Code: | 29646 |
Phone Number: | 8649434859 |
Fax Number: | 8649430718 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |