Individual
STEVEN STAAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MC
Contact information
Practice address
409 S 9TH ST, BASIN, WY 82410-0014
(307) 431-2869
(307) 440-2504
Mailing address
PO BOX 14, BASIN, WY 82410-0014
(307) 431-2869
(307) 440-2504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-528
WY
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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