Mr Chris Corey Hakes, LCSW | |
50 N Main St, Tooele, UT 84074-2139 | |
(801) 414-3252 | |
(801) 967-2127 |
Full Name | Mr Chris Corey Hakes |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 50 N Main St, Tooele, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194785378 | NPI | - | NPPES |
U000086168 | Other | UT | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 369489-3501 (Utah) | Primary |
Entity Name | Aspen Ridge Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104118132 PECOS PAC ID: 9739302902 Enrollment ID: O20140516001039 |
Mailing Address | Practice Location Address |
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Mr Chris Corey Hakes, LCSW Po Box 330, Magna, UT 84044-0330 Ph: (801) 414-3252 | Mr Chris Corey Hakes, LCSW 50 N Main St, Tooele, UT 84074-2139 Ph: (801) 414-3252 |
Keri B Stone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 N 50 W, Tooele, UT 84074 Phone: 801-990-4300 Fax: 801-967-2127 | |
Reina Marie Hansen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 N Main St Ste 203, Tooele, UT 84074 Phone: 435-882-4354 | |
Pamela Joan Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 435-843-3520 | |
Brijet Beazer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 801-595-4207 | |
Hayley Baldwin Baldwin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E, Tooele, UT 84074 Phone: 435-850-2547 | |
Ms. Sarah Louise Debois, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 435-843-3520 Fax: 435-843-3555 |