Individual
MR. TERRY A. BUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. LCPC, LMFT,LPC
Contact information
Practice address
1509 N WHITLEY DR, SUITE 11, FRUITLAND, ID 83619-2259
(208) 452-2162
(208) 452-1232
Mailing address
508 CORNWALL WAY, FRUITLAND, ID 83619-2544
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C-1425
OR
101YP2500X
Professional Counselor
LCPC-3188
ID
106H00000X
Marriage & Family Therapist
Primary
LMFT-2631
ID
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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