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NPI Code Detail

MEDICARE: MELISA ROMERO-LOPEZ ACMHC

MEDICARE: MELISA ROMERO-LOPEZ ACMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor14023002-6009UT

General Provider Information

NPI Number : 1265242630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISA ROMERO-LOPEZ ACMHC
Provider Business Mailing Address
First Line : 7070 S UNION PARK AVE STE 150
Second Line :
City : MIDVALE
State : UT
Zip : 84047-6043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7070 S UNION PARK AVE STE 150
Second Line :
City : MIDVALE
State : UT
Zip : 84047-6043
Country : US
Telephone Number : 385-321-1391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2025
Last Update Date : 08/05/2025

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Directions to “ MELISA ROMERO-LOPEZ ACMHC” Practice Location

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