person
Stacey Perko, MSW,LCSW,SUDC
Mental Health Counselor in Provo, Utah
NPI 1679034516

Stacey Perko is a Mental Health Counselor based in West Jordan, UT and is specialized in Mental Health. Stacey Perko practices in Provo, UT and has the professional credentials of MSW,LCSW,SUDC. The NPI Number for Stacey Perko is 1679034516 and holds a License No. 6086382-6005 (Utah).

The current practice location address for Stacey Perko is 3507 N University Ave Ste 350, Provo, UT and can be reached out via phone at 801-842-8062.

Location: 3507 N University Ave Ste 350, Provo, UT, 84081-3989
person
Provider Profile Details
NPI Number
1679034516
Provider Name
Stacey Perko
Credential
MSW,LCSW,SUDC
Provider Entity Type
Individual
Gender
Female
Address
3507 N University Ave Ste 350, Provo, UT, 84081-3989
Phone Number
801-842-8062
Fax Number
Provider Enumeration Date
03/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3507 N University Ave Ste 350
City
State
Zip
84604-6602
Phone Number
801-842-8062
Fax Number
person
Provider Business Mailing Address Details
Address
3507 N University Ave Ste 350
City
State
Zip
84604-6602
Phone Number
801-842-8062
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6086382-3501 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6086382-6005 (Utah)
Definition
Definition to come...
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