Hagen, Cleo Enockson
Hagen, Cleo Enockson is an individual health care provider with primary practice located at 8020 W 87Th St , Hickory Hills IL 60457-1189. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Hagen, Cleo Enockson can be contacted via phone (708) 741-4500.Contact Information
Primary practice address
8020 W 87Th St
Hickory Hills IL 60457-1189
Phone: (708) 741-4500
Fax: (708) 741-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1540 | Illinois |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois |
Profile Details
| NPI number | 1366594921 |
|---|---|
| LBN Legal business name | Hagen, Cleo Enockson |
| Credentials | LCPC, CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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