Provider Demographics
NPI:1942376439
Name:BUSTO, MARGARET PEGGY (LMFC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:PEGGY
Last Name:BUSTO
Suffix:
Gender:F
Credentials:LMFC
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:L
Other - Last Name:BUSTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFC
Mailing Address - Street 1:46 VIA ANDORRA
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-4100
Mailing Address - Country:US
Mailing Address - Phone:949-858-0778
Mailing Address - Fax:949-452-0022
Practice Address - Street 1:25283 CABOT ROAD
Practice Address - Street 2:#204
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5510
Practice Address - Country:US
Practice Address - Phone:949-858-0778
Practice Address - Fax:949-452-0022
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT8577101YM0800X
CAMFC8577106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health