Individual
MR. CHRIS COREY HAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
71 N 50 W, TOOELE, UT 84074-2139
(801) 990-4300
(801) 967-2127
Mailing address
PO BOX 330, MAGNA, UT 84044-0330
(801) 414-3252
(801) 967-2127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
369489-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000086168
MEDICARE PTAN
UT
Enumeration date
03/23/2006
Last updated
04/28/2026
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