Individual provider · Type 1 NPI

Raymond K. Spade, SAC

Addiction (Substance Use Disorder) Counselor · Beloit, WI

NPI number 1821436973 Active

Practice location

2240 Prairie Ave.
Beloit, WI 53511

Call (608) 361-7200 Map

Fax (608) 361-7201

Mailing address

2240 Prairie Ave
Beloit, WI 53511-2648

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16737130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1821436973

Raymond K. Spade, SAC's National Provider Identifier is 1821436973, issued on Jun 11, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beloit, WI. The record was last updated on Dec 30, 2014.