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Contact Information

JACQUELIN HAHN, LCSW
375 S MAIN ST # 322
MOAB, UT84532
 Phone: 505-633-5470
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JACQUELIN HAHN · (Female)

NPI Number 1316457583
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/02/2017
Last updated 03/28/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # C12047
  • UT License # 125905553501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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