Individual
MS. MELISSA JANE STASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1445 S 550 E, OREM, UT 84097-7719
(801) 368-0759
(801) 226-3867
Mailing address
PO BOX 366, PLEASANT GROVE, UT 84062-0366
(801) 368-0759
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
347321-6004
UT
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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