Individual
MS. THEA GUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LISW, NCC
Contact information
Practice address
322 E 6TH ST, CARROLL, IA 51401-2501
(712) 563-5285
(855) 303-9139
Mailing address
515 PACIFIC AVE STE 1, AUDUBON, IA 50025-1056
(712) 563-5285
(855) 303-9139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074609
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140292
—
IA
05
—
1140292
—
IA
05
—
6408605
—
IA
Enumeration date
11/17/2015
Last updated
04/14/2026
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