Individual
MELISSA B VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3648
Mailing address
284 W 1825 N, OGDEN, UT 84414-7320
(801) 941-5996
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
379340-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
UT
Enumeration date
04/19/2007
Last updated
07/08/2007
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