Individual provider · Type 1 NPI
Corie Hargrove, CADC-III
Addiction (Substance Use Disorder) Counselor · Racine, WI
NPI number
1720124019
Active
Practice location
2405 Northwestern Ave # LL15
Racine, WI 53404-2534
Fax (262) 260-8538
Mailing address
1625 Derby Ave
Racine, WI 53403-3808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13772 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1720124019
Corie Hargrove, CADC-III's National Provider Identifier is 1720124019, issued on Jan 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Racine, WI. The record was last updated on Dec 6, 2012.