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Organization
PEREGRINE MENTAL HEALTH
Active
Organization
PEREGRINE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARELLE HAGEN LCSW (CLINICAL THERAPIST)
(801) 769-6219
Entity
Organization
Contact information
Practice address
526 W CENTER ST STE N102, PLEASANT GROVE, UT 84062-3360
(801) 769-6219
Mailing address
10375 N BRISTLECONE WAY, CEDAR HILLS, UT 84062-8540
(801) 769-6219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/05/2026
Last updated
09/05/2026
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