| Doctor Name: | MR. CHRIS COREY HAKES |
| NPI Number: | 1194785378 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 369489-3501 |
| Business Practice Address: | 50 N Main St Tooele, UT - 840742139 |
| Business Phone Number: | 8014143252 |
| Business Fax Number: | 8017334083 |
| Mailing Address: | Po Box 572528, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841572528 |
| Phone Number: | 8014143252 |
| Fax Number: | 8019672127 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 369489-3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |