Individual provider · Type 1 NPI

Stacey Perko, MSW, LCSW, SUDC

Mental Health Counselor · Provo, UT

NPI number 1679034516 Active

Practice location

3507 N University Ave Ste 350
Provo, UT 84604-6602

Call (801) 842-8062 Map

Mailing address

5108 W Eagle Hill Cir
West Jordan, UT 84081-3989

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X6086382-6005 (UT)
Mental Health Counselor Primary 101YM0800X6086382-3501 (UT)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1679034516

Stacey Perko, MSW, LCSW, SUDC's National Provider Identifier is 1679034516, issued on Mar 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on May 1, 2020.