A US clinician wrote to us with exactly this question: my client is moving to Guatemala — can I keep seeing them from here? The Guatemalan half of that question has a clear rule, one fact it turns on, and a conspicuous gap where you would expect an answer. This page gives you all three in the statute’s own words, and names who has to make the call.

This is the provider-side page. If you are the person receiving care, our English-speaking mental health and therapy in Guatemala guide covers finding a provider, what care costs, insurance, and crisis lines.

This is general information about published Guatemalan instruments. It is not legal advice, it is not a determination about your practice, and it does not tell you what to do. Every quotation below is reproduced in the original Spanish with its source.

In short, for a US clinician:

  • The rule. Art. 90 of the Guatemalan Constitution makes colegiación of university professionals obligatoria. Art. 5 of Decreto 72-2001 says: “Para el ejercicio de las profesiones universitarias es imprescindible tener la calidad de colegiado activo.” There is no Guatemalan “licence” to reciprocate into — there is a colegio.
  • The condition. Everything turns on one fact: where the profession is exercised. The statute’s registration limbs are written territorially — “ejercer su profesión en el país”, “en el territorio de la República”.
  • The gap. Decreto 72-2001 contains no filing, notice, exemption or registration for a clinician who stays abroad. The only route short of full colegiación is a temporary registry tied to a programme running inside Guatemala, capped at two years, no prorrogables.
  • Read the gap correctly. That absence is a fact about the text. It is not permission. A statute that does not address your fact pattern has not cleared it.
  • Who decides. Not us, and not you. A Guatemalan abogado and the corresponding colegio — and under Art. 41, which colegio is itself a ruling of the Asamblea de Presidentes, not a self-assessment.

The rule: Guatemala gates the profession, not the practitioner’s licence

Start with the constitutional layer, because it explains why this works differently from a US state board.

Constitución Política de la República de Guatemala, Art. 90:

ARTICULO 90. Colegiación profesional. La colegiación de los profesionales universitarios es obligatoria y tendrá por fines la superación moral, científica, técnica y material de las profesiones universitarias y el control de su ejercicio.

Note the last four words: “el control de su ejercicio” — control of its exercise. Colegiación is not a directory or a trade association. The Constitution assigns it the job of controlling who exercises the profession. It is important enough that Art. 34, which guarantees freedom of association and says nobody is obliged to join anything, carves it out by name: “Se exceptúa el caso de la colegiación profesional.”

The statute that implements this is Decreto 72-2001, Ley de Colegiación Profesional Obligatoria. Its Art. 5 is the operative sentence for any clinician:

ARTICULO 5. Requisitos de calidad.

Para el ejercicio de las profesiones universitarias es imprescindible tener la calidad de colegiado activo.

Imprescindible — indispensable. Not recommended, not standard practice.

And Art. 1 forecloses the natural US assumption that a degree plus a home licence is the relevant credential:

Los títulos otorgados por las universidades del país o la aceptación de la incorporación de profesionales graduados en el extranjero, habilitan académicamente para el ejercicio de una profesión, pero no los faculta para el ejercicio legal de la misma, lo que deberá ser autorizado por el colegio profesional correspondiente, mediante el cumplimiento de la colegiación y sus obligaciones gremiales estipuladas en esta ley.

A degree — even one Guatemala has formally accepted — makes you academically qualified but does not authorise you. The colegio authorises. So the question “does my US licence transfer?” has no Guatemalan counterpart to transfer into. The right question is the next one.

The condition: where is the profession “exercised”?

This is the fact the whole analysis turns on, and it is worth being precise about it, because the statute is precise about it.

Art. 1 lists who must register. Two limbs concern foreign-trained professionals, and both are written territorially:

c) Los profesionales graduados en las distintas universidades del extranjero, cuyos títulos sean reconocidos en Guatemala en virtud de tratados y convenios internacionales aceptados y ratificados por el Estado y que deseen ejercer su profesión en el país; y,

d) Los profesionales universitarios graduados en el extranjero que formen parte de programas de postgrado, entrenamiento u otras actividades organizadas para desarrollarse en el territorio de la República por las distintas universidades del país, instituciones no estatales o internacionales o instituciones del Estado, autónomas o semiautónomas y las municipalidades, que por tal motivo deban ejercer la profesión en Guatemala, durante un lapso de tiempo máximo de dos años, no prorrogables, podrán hacerlo por el tiempo que dure la actividad respectiva, para lo cual se inscribirán en el registro de colegiados temporales que deberá llevar cada colegio profesional.

The criminal-liability sentence in the same article uses the same framing — it attaches to “cualquier actividad que implique el ejercicio de su profesión”, with no gloss on where that activity happens.

So: the trigger phrases are “en el país”, “en el territorio de la República”, and “en Guatemala”. They are territorial on their face. What the captured text does not contain is any definition of where a profession is exercised when the professional is in one country and the person receiving the service is in another. The statute was drafted for people who arrive — the foreign graduate who wants to practise here, the visiting trainer on a two-year programme. It does not describe a video call.

That is the entire crux, and it is genuinely unresolved in the text. We are not going to resolve it for you, because no source we captured resolves it.

The gap — and the reason it is not a green light

Say the missing piece plainly, because it is the thing a clinician most wants to hear and most needs to hear correctly:

Decreto 72-2001 creates no filing, no notice, no exemption, no waiver and no registration for a professional who stays abroad and serves someone inside Guatemala. We looked for one. There isn’t one.

The only route the statute offers short of full colegiación is the registro de colegiados temporales in limb d — and its own wording disqualifies it as a remote-practice mechanism twice over. It requires a programme “organizada para desarrollarse en el territorio de la República”, and it is capped at “un lapso de tiempo máximo de dos años, no prorrogables”.

Now the part that matters most:

The absence of a filing is a fact about the statute’s text. It is not permission, and it must not be read as one. A law that does not mention your fact pattern has not approved your fact pattern — it simply was not written to it. There is no form for this and this is allowed are different statements, and only the first one is sourced.

That reading is reinforced by what sits immediately next to the gap. Two liability provisions, falling on two different people.

On the professional — Art. 1:

El incumplimiento en el requisito de la colegiación antes del inicio de cualquier actividad que implique el ejercicio de su profesión, hará responsable penalmente al profesional, al ejercer una profesión sin estar legalmente autorizado.

On whoever contracts the service — Art. 5:

Toda persona individual o jurídica, pública o privada que requiera y contrate los servicios de profesionales que de conformidad con esta ley, deben ser colegiados activos, quedan obligadas a exigirles que acredite tal extremo, para dar validez al contrato, sin perjuicio de las responsabilidades penales y civiles en que puedan incurrir por tal incumplimiento.

Clinicians rarely expect that second one. The statute makes the client — or the clinic, employer or platform contracting on their behalf — responsible for demanding proof of colegiado activo status, ties contract validity to it, and preserves penal and civil responsibility for the failure.

And Art. 30 is the enforcement channel, which acts on its own initiative:

El colegio profesional que corresponda, denunciará ante la autoridad correspondiente, a quien se arrogare título académico o ejerciere actos que competen a profesionales universitarios, sin tener titulo o habilitación especial […] Las juntas directivas, implementarán los mecanismos legales de control y actuarán de oficio en cada caso que sea de su conocimiento.

One more honest caveat. We found no case, ruling or colegio resolution applying Art. 1, Art. 5 or Art. 30 to a clinician who never set foot in Guatemala. We are reporting that as an absence of evidence in either direction. Do not read it as safety. Do not read it as risk. It means the question has not been publicly answered, which is exactly why it needs a Guatemalan lawyer rather than a blog.

Six scenarios, and what the statute actually says about each

Read the middle column as what the text says, never as what you may do. The right-hand column is the work.

Your scenarioWhat the statute saysWhat to verify, and with whom
1. You stay in the US. Your client is physically in Guatemala at session time.Unaddressed. Art. 1’s limbs turn on exercising the profession “en el país” / “en el territorio de la República”; nothing defines where a profession is exercised in a cross-border session. No filing exists for a professional who stays abroad.Whether this arrangement is ejercicio de la profesión en Guatemala at all. This is the threshold question and it is for a Guatemalan abogado, with the corresponding colegio consulted on its own practice.
2. You stay in the US. Your client is Guatemala-based but travels to the US for sessions.Art. 1’s territorial trigger phrases point at activity in Guatemala. The captured text says nothing about a Guatemalan resident receiving a service while outside Guatemala.That the client’s physical location at session time is documented, since that is the fact the Guatemalan text keys on. Confirm the analysis with a Guatemalan abogado rather than assuming residence and location are the same fact.
3. You fly to Guatemala and see the client in person, even once.Now you are squarely inside the territorial wording. Art. 5: colegiado activo status is imprescindible for the ejercicio of a university profession. Art. 1 attaches criminal responsibility to failing colegiación “antes del inicio” of any such activity.The colegio’s position before the trip, not after. Note Art. 1’s timing: the requirement bites before the activity begins.
4. You relocate to Guatemala and build a practice there.The full Art. 1 limb c) sequence: degree recognised under a ratified treaty, USAC reconocimiento first — Art. 1: “previo a la colegiación, los profesionales deberán cumplir con el procedimiento de reconocimiento de títulos” — then colegiación, then maintaining colegiado activo under Art. 5(a)–(d). Foreign citizens also need “la autorización legal para laborar en Guatemala” and diplomatic authentication of the degree.Start with USAC on the degree, then the colegio. Immigration status is a separate track — see Guatemala residency.
5. You come for a training programme, NGO placement or postgrad activity run inside Guatemala.This is the one route the statute writes for temporary foreign professionals: Art. 1 limb d), via the registro de colegiados temporales, maximum two years, no prorrogables, for the duration of the activity, with “la sola autorización del colegio profesional que corresponda con su naturaleza profesional”. Cuotas are owed by the professional “o en su defecto, la parte contratante”, with responsabilidad civil solidaria falling “en forma mancomunada entre el profesional y el ente contratante.”Which colegio corresponds to your degree (see below), and who pays the cuotas — the joint liability here is real and names your host organisation.
6. You supervise, consult to, or co-treat with a Guatemalan provider.Art. 5 makes colegiado activo status the condition for the ejercicio, and Art. 30 separately reaches “el profesional que coopere y preste su nombre, firma o sello, a personas no profesionales.” Art. 7 requires a colegiado to display their constancia where they normally practise.That your Guatemalan counterpart is colegiado activo — not merely a graduate. Art. 6: three months’ unpaid cuotas costs that status automatically, “sin necesidad de declaratoria previa”. Ask for a current constancia.

Your client’s side of the contract

Worth separating out, because it changes what you owe your client in disclosure.

Art. 5’s second sentence does not address you. It addresses “toda persona individual o jurídica, pública o privada que requiera y contrate los servicios” — the person or entity contracting the service. It obliges them to demand proof of colegiado activo status, and it ties that proof to contract validity (“para dar validez al contrato”), “sin perjuicio de las responsabilidades penales y civiles en que puedan incurrir por tal incumplimiento.”

If your arrangement is ever determined to be exercise of the profession in Guatemala, the statute’s design places an exposure on the client too — and on any clinic, employer or platform contracting on their behalf. A clinician weighing whether to keep a relocating client is not only weighing their own risk. That is a reason to get the determination made rather than left ambiguous.

“LCSW” is not a Guatemalan profession — so which colegio?

For a psychologist the target is at least obvious. For most US clinical titles it is not, and this is where the question usually stalls.

Guatemala has 14 colegios profesionales. The Asamblea de Presidentes de los Colegios Profesionales — the body Decreto 72-2001 itself constitutes — states on its own site that it is made up of “un total de 14 Presidentes”, and lists exactly 14 colegios: médicos y cirujanos, farmacéuticos, ingenieros, abogados y notarios, estomatológico, psicólogos, ingenieros químicos, médicos veterinarios, ingenieros agrónomos, enfermería, humanidades, arquitectura, contadores públicos, and CPA. The count reconciles, so that is a complete list rather than a partial one.

None of the 14 is a colegio for social work. None is a colegio for counseling or for marriage-and-family therapy as separate professions. Psychology has one — the Colegio de Psicólogos de Guatemala. The other US clinical licence titles have no same-named body to register with.

Decreto 72-2001 anticipates precisely this, in Art. 41:

ARTICULO 41. Colegiación afín.

Aquellos profesionales universitarios que no cumplan con los requisitos para organizarse legalmente como colegio, en tanto se complementen éstos, deberán inscribirse y registrarse en el colegio que tenga mayor afinidad con su profesión, previo dictamen de la Asamblea de presidentes de los Colegios profesionales. No podrá existir más de un colegio profesional por cada una de las profesiones universitarias.

Two things follow, and both matter to a US clinician:

  1. Affinity is a ruling, not a self-assessment. The colegio is assigned “previo dictamen de la Asamblea de presidentes”. You do not get to pick the closest-sounding one.
  2. The test is the curriculum, not the job title. The Colegio de Psicólogos says so in its own statutes. Art. 1 of its Estatutos (approved by Asamblea General Extraordinaria on 18 May 2024) admits, in the two limbs that cover foreign-trained and USAC-incorporated professionals, those holding a degree “en el ramo de las Ciencias Psicológicas y otras profesiones que por afinidad de pensum les corresponda”. Pensum means the syllabus. What your degree contained is the question; what your state calls you is not.

We are not going to guess where a US LCSW, LPC or LMFT degree lands. That outcome is not published anywhere we could source it, it plainly depends on the individual pensum, and under Art. 41 it belongs to the Asamblea de Presidentes. Guessing it here would be exactly the kind of confident-sounding error that makes this question dangerous.

If the answer comes back that you would need to colegiarse, here is the sequence

Not a to-do list you can start today — a map of who is in the chain, so you can price the question honestly.

Step one is not the colegio. It is USAC. The Constitution gives the Universidad de San Carlos de Guatemala a monopoly on recognising foreign degrees, in Art. 87:

La Universidad de San Carlos de Guatemala, es la única facultada para resolver la incorporación de profesionales egresados de universidades extranjeras y para fijar los requisitos previos que al efecto hayan de llenarse, así como para reconocer títulos y diplomas de carácter universitarios amparados por tratados internacionales.

USAC publishes that same article at the top of its own incorporación portal, and Decreto 72-2001 makes the step a precondition: for limb c) professionals, “previo a la colegiación, los profesionales deberán cumplir con el procedimiento de reconocimiento de títulos, establecidos por la Universidad de San Carlos de Guatemala.” The Colegio de Psicólogos’ statutes repeat the same precondition in their own Art. 1.

One detail worth catching early if you hold a master’s-level clinical degree. USAC’s portal splits the routes. Incorporación is described as being for professionals at “nivel de grado (licenciatura)” from foreign institutions who want to incorporate their studies into USAC. Reconocimiento de Estudios de Postgrado — maestría, especialización, doctorado, post-doctorado — is described as being aimed at people “que ya cuentan con título profesional facultativo” — that is, “de la Universidad de San Carlos de Guatemala ó Universidad privada legalmente autorizada para funcionar en Guatemala”, i.e. who already hold a Guatemalan professional degree. Which of those two doors a US clinical master’s goes through is not something the portal answers, and it is a question worth putting to USAC in writing before anything else. Their published address for this is incorporacionesrye@adm.usac.edu.gt, and the portal also lists a form titled “Autorización para ejercer profesión universitaria”.

After USAC, the colegio. Art. 5 defines colegiado activo as satisfying the colegio’s inscription and registration rules, not being under a disqualifying judicial sanction, being current on the profession tax and cuotas, and completing the colegio’s annual professional credits. Art. 6 is unforgiving about the third one: three months’ arrears costs the status “sin necesidad de declaratoria previa”, and recovering it “no liberará al colegiado de las responsabilidades civiles y penales” incurred while practising as inactive. Art. 7 requires the constancia to be displayed where you normally practise, with a portable photo version for work away from that place.

And for a foreign citizen, two more conditions from Art. 1: “la autorización legal para laborar en Guatemala, expedida por la autoridad correspondiente”, and degrees issued abroad must complete “los procedimientos de autenticación correspondientes, por la vía diplomática.”

The US half of the question — which we did not research

We researched the Guatemalan side only, and we are not going to paraphrase US rules we did not source. As generic practice management, and with no specific rule named:

  • Ask your own state board how its rules treat the client’s physical location at the time of the session. We did not research US board rules and this page states none.
  • Check your malpractice carrier’s territorial coverage before the first session with a client outside the country, not after an incident.

Neither of those is a Guatemalan requirement and neither substitutes for the Guatemalan determination. They are simply the two things most likely to be assumed rather than checked. If you also have a tax or business-structure question about cross-border work, US taxes while working remotely from Guatemala covers that separate track.

How to actually get an answer

Three parties, in this order. The point of naming them is that this question is answerable — just not by a website.

  1. A Guatemalan abogado, colegiado activo. They own the threshold question: whether your specific arrangement constitutes ejercicio de la profesión in Guatemala. Verify their own status the same way you would want yours verified — Art. 6 means a lapsed colegiado can look entirely normal.
  2. The corresponding colegio. If your degree is in psychology, that is the Colegio de Psicólogos de Guatemala, which publishes 2218-3400 and info@colegiodepsicologos.org.gt, and maintains a members directory. If your degree is not psychology, Art. 41 routes the affinity determination through the Asamblea de Presidentes de los Colegios Profesionales first.
  3. USAC, at incorporacionesrye@adm.usac.edu.gt, but only if the answer to (1) turns out to require colegiación.

Ask a specific question, not a general one. Something close to this, in your own words:

Soy [profesión] con licencia en [estado], resido y ejerzo físicamente en Estados Unidos, y atiendo por videollamada a una persona que reside en Guatemala. ¿Constituye esto ejercicio de la profesión en Guatemala conforme al Decreto 72-2001, y en su caso qué inscripción corresponde?

A general can I do telehealth in Guatemala question invites a general answer; the territorial fact is what you need addressed.

Frequently asked questions

Can I keep seeing a client who moved to Guatemala if I stay in the United States? Guatemalan law does not answer that question in the text, and this page does not invent an answer. Here is what the statute does say. Art. 90 of the Constitution makes colegiación of university professionals obligatory, and Art. 5 of Decreto 72-2001 says that for the exercise of university professions it is imprescindible to hold the status of colegiado activo. The registration limbs in Art. 1 are written territorially: limb c covers foreign graduates who wish to exercise their profession “en el país”, and limb d covers programmes “organizadas para desarrollarse en el territorio de la República”. Nothing in the captured text addresses a professional who never enters Guatemala and delivers a session to someone who is there. That silence is a fact about the statute, not a permission. Whether your specific arrangement counts as exercising a profession in Guatemala is a determination for a Guatemalan abogado and the corresponding colegio, and this page will not make it for you.

Do I need a Guatemalan license to do telehealth with a client in Guatemala? Guatemala does not issue a professional licence in the US sense, so there is nothing to reciprocate into. The gate is colegiación: registration with the professional colegio that matches your degree, and maintaining colegiado activo status. Art. 1 of Decreto 72-2001 is explicit that a degree only habilita académicamente for a profession but does not faculta the holder for its legal exercise, which must be authorised by the corresponding colegio. So the correct question is not which US licence transfers, but whether what you are doing counts as ejercicio de la profesión in Guatemala at all. That threshold question is unresolved in the text and has to be put to a Guatemalan abogado and the colegio.

Is there a form I can file to be allowed to treat a client living in Guatemala from abroad? None was found in Decreto 72-2001. The only route short of full colegiación that the statute creates is the registro de colegiados temporales in Art. 1 limb d, and its own wording is conditioned on a postgraduate, training or other programme organised to take place en el territorio de la República, for a maximum of two years, no prorrogables. It is not a remote-practice registration and it is not open-ended. Read this carefully: the absence of a filing for someone who stays abroad is not the same as clearance. A statute that does not mention your fact pattern has not approved it, it simply was not written to it. Two liability provisions sit immediately next to that gap, in Art. 1 and Art. 5.

I am an LCSW, not a psychologist. Which Guatemalan colegio would I even register with? That is a real problem and not a rhetorical one. The Asamblea de Presidentes de los Colegios Profesionales lists 14 colegios: médicos y cirujanos, farmacéuticos, ingenieros, abogados y notarios, estomatológico, psicólogos, ingenieros químicos, médicos veterinarios, ingenieros agrónomos, enfermería, humanidades, arquitectura, contadores públicos, and CPA. There is no colegio for social work, and none for counseling or marriage-and-family therapy as separate professions. Art. 41 of Decreto 72-2001 handles that case: professionals without their own colegio must register in the colegio with the greatest affinity to their profession, previo dictamen de la Asamblea de presidentes, and no more than one colegio may exist per university profession. The Colegio de Psicólogos states its own test in Art. 1 of its estatutos, admitting degrees in the ramo de las Ciencias Psicológicas y otras profesiones que por afinidad de pensum les corresponda. So the test is your curriculum and the ruling belongs to the Asamblea. We deliberately do not guess where a US LCSW, LPC or LMFT degree would land, because that outcome is not published.

What is the penalty in Guatemala for practising a profession without colegiación? Two separate exposures appear in the captured text, and they fall on different people. Art. 1 of Decreto 72-2001 states that failing the colegiación requirement before beginning any activity that implies the exercise of the profession makes the professional criminally responsible, for exercising a profession without being legally authorised. Art. 5 puts a duty on whoever contracts the service, any individual or legal person, public or private, to require proof of colegiado activo status para dar validez al contrato, sin perjuicio de las responsabilidades penales y civiles they may incur for that failure. Art. 30 is the enforcement channel: the colegio denounces to the competent authority, and its junta directiva acts de oficio in every case that comes to its knowledge. We found no case applying any of these to a clinician who never entered Guatemala. Do not read that absence as safety, and do not read it as risk.

My client is only in Guatemala for a few months. Does a short stay change the analysis? Nothing in the captured text makes the answer turn on how long your client stays. The statute’s conditions are about where the profession is exercised, not about the client’s length of stay. The only duration figure in the relevant provisions is the two-year, non-extendable cap on Art. 1 limb d temporary registration, and that cap applies to a foreign professional on a programme organised to run inside Guatemalan territory, which is a different situation from a client on a short trip. If the underlying question is whether your work counts as exercising the profession in Guatemala, a short client stay does not resolve it. Put the specific dates and the specific arrangement to a Guatemalan abogado.

Go deeper

Sources

Instrument / pagePublishing bodyURLRetrieved
Constitución Política de la República de Guatemala (1985, con reformas de 1993) — Arts. 34, 87, 90Organization of American States, Departamento de Derecho Internacionalhttps://www.oas.org/dil/esp/constitucion_guatemala.pdf2026-09-01
Decreto 72-2001, Ley de Colegiación Profesional Obligatoria — Arts. 1, 5, 6, 7, 30, 41, 44, 45Congreso de la República, copy published by the Colegio de Psicólogos de Guatemala under its Normativashttps://www.colegiodepsicologos.org.gt/wp-content/uploads/2020/08/DECRETO-DEL-CONGRESO-72-2001.pdf2026-09-01
Same decree, second official copy used to cross-check Arts. 1, 5 and 41 word for word (Compendio de Leyes 2022)Asamblea de Presidentes de los Colegios Profesionaleshttps://asambleadepresidentes.org.gt/wp-content/uploads/2022/04/Ley-de-Colegiacion-Profesional-Obligatoria-Decreto-72-2001.-convertido.pdf2026-09-01
Estatutos del Colegio de Psicólogos de Guatemala, Art. 1 (Integración) and Art. 99 (approved by Asamblea General Extraordinaria of 18 May 2024)Colegio de Psicólogos de Guatemalahttps://www.colegiodepsicologos.org.gt/wp-content/uploads/2025/02/ESTATUTOS-FINALES-PARA-PUBLICAR-COLEGIO-PSICOLOGOS-26-FEBRERO.pdf2026-09-01
Inscripciones (registration routes, contact)Colegio de Psicólogos de Guatemalahttps://www.colegiodepsicologos.org.gt/inscripciones/2026-09-01
Normativas (index of the colegio’s governing instruments)Colegio de Psicólogos de Guatemalahttps://www.colegiodepsicologos.org.gt/normativas/2026-09-01
List of the 14 colegios profesionalesAsamblea de Presidentes de los Colegios Profesionaleshttps://asambleadepresidentes.org.gt/2026-09-01
¿Quiénes somos? — “un total de 14 Presidentes”Asamblea de Presidentes de los Colegios Profesionaleshttps://asambleadepresidentes.org.gt/quienes-somos/2026-09-01
Incorporación / reconocimiento de títulos extranjeros (quotes Constitución Art. 87; route descriptions; contact)Universidad de San Carlos de Guatemala, Portal Registro y Estadísticahttps://portalregistro.usac.edu.gt/formulario_incorporado2026-09-01

What we deliberately did not source, and therefore do not state: any US state-board rule or interstate-compact provision; any malpractice policy term; any enforcement precedent applying these articles to a remote clinician; any fee or timeline for a foreign-degree applicant at USAC or at a colegio; and which colegio a specific US clinical degree would be assigned to under Art. 41. Each of those is a real question — it is just not one this page can answer honestly.

Again: general information about published Guatemalan instruments, not legal advice. The determination for your practice belongs to a Guatemalan abogado and the corresponding colegio.