Individual
MICHELE MCCONKIE EREKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 N CANYON RD STE 112, PROVO, UT 84604-5972
(571) 295-5148
Mailing address
1177 E 2080 N, PROVO, UT 84604-2147
(484) 437-8393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10660452-6004
UT
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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