Individual provider · Type 1 NPI

Tatum Bourgeois, PPC

Professional Counselor · Gillette, WY

NPI number 1326756669 Active

Practice location

345 Sinclair St
Gillette, WY 82718-6478

Call (307) 217-1881 Map

Mailing address

1103 Beaver Dr
Gillette, WY 82718-5604

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPPC-1353 (WY)

Professional Counselor: Definition to come...

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About NPI 1326756669

Tatum Bourgeois, PPC's National Provider Identifier is 1326756669, issued on Nov 7, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gillette, WY. The record was last updated on Nov 7, 2022.