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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CLARK WILLIAM GUEST, LAADC #LNR2090411

Active Sole Proprietor

MR. CLARK WILLIAM GUEST, LAADC #LNR2090411 is a Professional Counselor healthcare provider located in HAYDEN, Idaho. NPI 1215147400 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · HAYDEN, ID

Registration Details

NPI Number
1215147400
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2007 (19.194745866008 yrs)
Last Updated
May 16, 2022
Licenses
051235 (CA)
7590 (ID)
Sole Proprietor
Yes

Practice Information

Address
9494 N GOVERNMENT WAY # 202
HAYDEN, ID, 838359848
Browse ID providers · Browse ZIP 83835
Phone
2084492509
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in HAYDEN, ID

Name Credential NPI
ROBERT MORRISSETTE 1295974087
DR. TRACI LYNN FRITSCH ED.D, NCSP, LPC 1477823011
JILL CLAUDINE SMITH LPC 1316383854
MR. WARREN JONES M.ED 1629464425
MRS. SIERRA COLLEEN SWICK. LCPC. 1932580156
JUSTIN JAMES HUGHES MS, LPC 1023471943
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.