# ASPEN RIDGE COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104118132
- **Authorized official:** MR. CHRISTOPHER COREY HAKES LCSW (OWNER)
- **Authorized official phone:** (801) 414-3252

## Contact information

- **Practice address:** 2711 S 8500 W, MAGNA, UT 84044-1307
- **Practice address phone:** (801) 990-4300
- **Practice address fax:** (801) 967-2127
- **Mailing address:** PO BOX 330, MAGNA, UT 84044-0330
- **Mailing address phone:** (801) 990-4300
- **Mailing address fax:** (801) 967-2127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 369489-3501 | UT | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2011
- **Last updated:** 03/01/2021