Individual
STACEY LYNNE BUCHANAN GURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CAP
Contact information
Practice address
360 COLLEGE MEADOWS DR, SHERIDAN, WY 82801-9153
(307) 673-2510
(307) 673-2513
Mailing address
360 COLLEGE MEADOWS DR, SHERIDAN, WY 82801-9153
(307) 673-2510
(307) 673-2513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP 146
WY
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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