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Brent Lawrence Guard
Counselor in Kodiak, Alaska
NPI 1700370202

Brent Lawrence Guard is a Counselor based in Larsen Bay, AK. Brent Lawrence Guard practices in Kodiak, AK. The NPI Number for Brent Lawrence Guard is 1700370202 and holds a License No. 18-135-BHA1 (Alaska).

The current practice location address for Brent Lawrence Guard is 3449 E Rezanof Dr, Kodiak, AK and can be reached out via phone at 907-486-1386 and via fax at 907-847-2264. You can also correspond with Brent Lawrence Guard through the mailing address at PO BOX 127, LARSEN BAY, AK - 99624-0127 (mailing address contact number: 907-486-1386).

Location: 3449 E Rezanof Dr, Kodiak, AK, 99624-0127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700370202
Provider Name
Brent Lawrence Guard
Credential
Provider Entity Type
Individual
Gender
Male
Address
3449 E Rezanof Dr, Kodiak, AK, 99624-0127
Phone Number
907-486-1386
Fax Number
907-847-2264
Provider Enumeration Date
06/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3449 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6952
Phone Number
907-486-1386
Fax Number
907-847-2264
person
Provider Business Mailing Address Details
Address
Po Box 127
City
Larsen Bay
State
Alaska
Zip
99624-0127
Phone Number
907-486-1386
Fax Number
907-847-2264
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
18-135-BHA1 (Alaska)
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's degree and clinical experience and supervision for licensure or certification.
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