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Clark Guest, LAADC #LNR2090411

NPI 1215147400 · on the registry since 2007 · sole proprietor

Practice

Address
9494 N Government Way # 202
Hayden, ID 83835
Phone
(208) 449-2509
Organisation at this address
Cristy Kay Lcsw Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
106H00000X
Licence states on file
CA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho