MICHELE MCCONKIE EREKSON

PROVO, UT
NPI1699255315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  10660452-6004)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
MICHELE MCCONKIE EREKSON
2545 N CANYON RD STE 112
PROVO, UT 84604-5972
Phone number: 571-295-5148
Mailing Address
MICHELE MCCONKIE EREKSON
1177 E 2080 N
PROVO, UT 84604-2147
Phone number: 484-437-8393