Individual
JEREMIAH GUIDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
26 ASPEN LANE, HERON, MT 59844
(406) 847-5095
Mailing address
PO BOX 410, HERON, MT 59844-0410
(406) 847-5095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LCPC 5633
ID
101YP2500X
Professional Counselor
Primary
SWP-LCPC-LIC-8307
MT
Other
Enumeration date
08/13/2013
Last updated
07/25/2014
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