Individual
STEPHEN HARBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1299 RAYMOND ST, GILLETTE, WY 82718-6980
(307) 682-8505
Mailing address
108 COLLEGE PARK CIR, GILLETTE, WY 82718-9463
(307) 751-6477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP-189
WY
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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