Guest, Clark William

Guest, Clark William is an sole proprietor health care provider with primary practice located at 9494 N Government Way # 202 , Hayden ID 83835-9848. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Guest, Clark William can be contacted via phone (208) 449-2509.

Contact Information

Primary practice address
9494 N Government Way # 202 Hayden ID 83835-9848
Phone: (208) 449-2509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 051235 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 7590 Idaho

Profile Details

NPI number 1215147400
LBN Legal business name Guest, Clark William
Credentials LAADC #LNR2090411
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated May 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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