Individual
STEVAN MELLO LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
124 S 400 E STE 300, SALT LAKE CITY, UT 84111-5307
(801) 704-5066
Mailing address
9730 S BLUFFSIDE DR, SANDY, UT 84092-4035
(801) 739-1067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13982808-6009
UT
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
01/07/2016
Last updated
07/17/2024
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