Stacey Perko, MSW, LCSW, SUDC

NPI 1679034516 · on the registry since 2019 · sole proprietor

Practice

Address: 3507 N University Ave Ste 350
Provo, UT 84604
Phone: (801) 842-8062
Organisation at this address: Cazier Care Llc
Max Ah Quin, Llc
Ben Weinheimer Pllc
Rivendell Clinic Llc
Coronado Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Mental Health Counselor
101YM0800X
Also registered as: Addiction (Substance Use Disorder) Counselor
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah