Steven Staab, MC

NPI #1285025205 in Basin, Wyoming

Provider Information

NPI Number: 1285025205
Entity Type: Individual
Name: Steven Staab, MC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MC
Enumeration Date: Feb 12, 2015
Last Updated: Feb 12, 2015

Practice Location

Address: 409 S 9TH ST
City: Basin
State: Wyoming
ZIP Code: 82410-0014
Phone: (307) 431-2869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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