Individual
ALPHONSE EID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 E 1ST ST, GILLETTE, WY 82716-3801
(307) 381-8351
Mailing address
107 E 1ST ST, GILLETTE, WY 82716-3801
(307) 381-8351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1603
WY
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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