Individual
SAMUEL BROSSARD MCCUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1949 SUGARLAND DR STE 221, SHERIDAN, WY 82801-5766
(307) 763-8121
(307) 673-5167
Mailing address
1949 SUGARLAND DR STE 221, SHERIDAN, WY 82801-5766
(307) 763-8121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1007
WY
Other
Enumeration date
06/20/2017
Last updated
03/31/2022
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