STEPHEN HARBOUR

GILLETTE, WY
NPI1093424426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY  CAP-189)
Enumeration Date2022-11-15
Last Update Date2022-11-15
Business Address
STEPHEN HARBOUR
1299 RAYMOND ST
GILLETTE, WY 82718-6980
Phone number: 307-682-8505
Mailing Address
STEPHEN HARBOUR
108 COLLEGE PARK CIR
GILLETTE, WY 82718-9463
Phone number: 307-751-6477