Tatum Bourgeois, PPC

NPI #1326756669 in Gillette, Wyoming

Provider Information

NPI Number
1326756669
Entity Type
Individual
Name
Tatum Bourgeois, PPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
PPC
Enumeration Date
Nov 7, 2022
Last Updated
Nov 7, 2022

Practice Location

Address
345 SINCLAIR ST
State
Wyoming
ZIP Code
82718-6478
Phone
(307) 217-1881

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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