| 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 |
|---|---|
| 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 |
|---|---|
| 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 | |
Kylie Silva, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 888-949-4864 | |
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 | |
Jennifer Westover, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 W Vine St, Tooele, UT 84074 Phone: 435-882-4354 | |
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 |