| Mr Corie Hargrove, CADC-III | |
|
2405 Northwestern Ave # Ll15, Racine, WI 53404-2534 | |
| (262) 260-8370 | |
| (262) 260-8538 |
| Full Name | Mr Corie Hargrove |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2405 Northwestern Ave # Ll15, Racine, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720124019 | NPI | - | NPPES |
| 39173200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13772 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Corie Hargrove, CADC-III 1625 Derby Ave, Racine, WI 53403-3808 Ph: () - | Mr Corie Hargrove, CADC-III 2405 Northwestern Ave # Ll15, Racine, WI 53404-2534 Ph: (262) 260-8370 |
Kathleen Rasmussen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2222 | |
Sammy Joe Rangel, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Ave, 101, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547 | |
Merritt Adams, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-632-1780 Fax: 262-632-0895 | |
Dr. Kelly Jean Smith, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-638-6771 | |
Donna R. Swanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Sixth St, Racine, WI 53403 Phone: 262-898-2940 Fax: 262-898-1772 | |
Ms. Laura Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wisconsin Ave, Racine, WI 53403 Phone: 262-637-8888 Fax: 262-637-0695 | |
Mrs. Maryellen L. Schemel, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 Northwestern Ave, Suite Ll5, Racine, WI 53404 Phone: 262-260-8370 |