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Individual
SHAWN M GUIDEAU
Active
Individual
SHAWN M GUIDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, ICAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C00529
MI
101YP2500X
Professional Counselor
Primary
6401006879
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11954459
CAQH
—
Enumeration date
05/12/2010
Last updated
02/10/2011
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