| Aspen Ridge Counseling Llc | |
|
2711 S 8500 W Magna UT 84044-1307 | |
| (801) 990-4300 | |
| (801) 967-2127 |
| Full Name | Aspen Ridge Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2711 S 8500 W, Magna, Utah |
| Authorized Official Name and Position | Christopher Corey Hakes (OWNER) |
| Authorized Official Contact | 8014143252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Ridge Counseling Llc Po Box 330 Magna UT 84044-0330 Ph: (801) 990-4300 | Aspen Ridge Counseling Llc 2711 S 8500 W Magna UT 84044-1307 Ph: (801) 990-4300 |
| NPI Number | 1104118132 |
|---|---|
| Provider Enumeration Date | 05/10/2011 |
| Last Update Date | 03/01/2021 |
| Certification Date | 03/01/2021 |
| Medicare PECOS PAC ID | 9739302902 |
|---|---|
| Medicare Enrollment ID | O20140516001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104118132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 369489-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chris C Hakes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194785378 PECOS PAC ID: 7113028358 Enrollment ID: I20070718000535 |
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