Individual
CHARELLE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
814 E BAMBERGER DR STE B, AMERICAN FORK, UT 84003-2177
(801) 772-0202
(801) 772-0139
Mailing address
10375 N BRISTLECONE WAY, CEDAR HILLS, UT 84062-8540
(801) 687-2054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13979908-3501
UT
1041C0700X
Clinical Social Worker
Primary
13979908-3502
UT
Other
Enumeration date
05/01/2025
Last updated
02/23/2026
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