MEDICARE: CHRIS HAUGEN COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	18401	MD

General Provider Information

NPI Number	:	1508216870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRIS HAUGEN COUNSELING LLC

Provider Business Mailing Address
First Line	:	10287 PALM DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-4260
Country	:	US
Telephone Number	:	240-753-3786
Fax Number	:

Provider Business Practice Location Address
First Line	:	10287 PALM DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-4260
Country	:	US
Telephone Number	:	240-753-3786
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRIS HAUGEN
Credential	:	LCSW-C ED.M
Telephone Number	:	240-753-3786

Provider Enumeration Date	:	06/17/2016
Last Update Date	:	06/12/2025

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