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Mr. Clark William Guest, LAADC#LNR2090411
Professional Counselor in Hayden, Idaho
NPI 1215147400

Clark William Guest is a Professional Counselor based in Coeur D Alene, ID and is specialized in Professional. Clark William Guest practices in Hayden, ID and has the professional credentials of LAADC#LNR2090411. The NPI Number for Clark William Guest is 1215147400 and holds a License No. 051235 (Idaho).

The current practice location address for Clark William Guest is 9494 N Government Way # 202, Hayden, ID and can be reached out via phone at 208-449-2509.

Location: 9494 N Government Way # 202, Hayden, ID, 83814-1403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215147400
Provider Name
Clark William Guest
Credential
LAADC#LNR2090411
Provider Entity Type
Individual
Gender
Male
Address
9494 N Government Way # 202, Hayden, ID, 83814-1403
Phone Number
208-449-2509
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9494 N Government Way # 202
City
Hayden
State
Idaho
Zip
83835-9848
Phone Number
208-449-2509
Fax Number
person
Provider Business Mailing Address Details
Address
9494 N Government Way # 202
City
Hayden
State
Idaho
Zip
83835-9848
Phone Number
208-449-2509
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
7590 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
051235 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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