Provider Demographics
NPI:1992995500
Name:GUY, PATRICK CALVIN (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:CALVIN
Last Name:GUY
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:PATRICK
Other - Middle Name:C
Other - Last Name:GUY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:2520 BEDFORD CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5228
Mailing Address - Country:US
Mailing Address - Phone:970-368-4521
Mailing Address - Fax:
Practice Address - Street 1:2520 BEDFORD CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5228
Practice Address - Country:US
Practice Address - Phone:970-368-4521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health