Corie Hargrove in Racine - Addiction (substance Use Disorder)
Corie Hargrove - NPI 1720124019
Corie Hargrove is a Addiction (substance Use Disorder) in Racine, Wisconsin. Corie Hargrove practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Corie Hargrove is 1720124019. The last update date is 2012-12-06.
Corie Hargrove's current location address is 2405 Northwestern Ave # Ll15, Racine, Wisconsin. You can contact this provider via phone number 2622608370 and fax number 2622608538. The mailing address for Corie Hargrove is 2405 Northwestern Ave # Ll15, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corie Hargrove |
|---|---|
| Address | 2405 Northwestern Ave # Ll15, Racine, Wisconsin |
| Phone Number | 2622608370 |
| Fax Number | 2622608538 |
| Sole Proprietor | N |
| Credentials | CADC-III |
NPI Number Detail
| NPI Number | 1720124019 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2012-12-06 |
Provider Mailing Address Detail
| Address | 2405 Northwestern Ave # Ll15 |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 5340425340 |
| Phone Number | 2622608370 |
| Fax Number | 2622608538 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 13772 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39173200 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Corie Hargrove?
The Corie Hargrove has been issued the NPI (National Provider Identifier) 1720124019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Corie Hargrove is physically located?
The Corie Hargrove is physically situated at the following address: 2405 Northwestern Ave # Ll15, Racine, WI, 5340425340.
What is the Corie Hargrove's specialty and taxonomy code?
The Corie Hargrove's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Corie Hargrove receive its 1720124019 assignment from the Centers for Medicare & Medicaid Services?
The Corie Hargrove was assigned its 1720124019 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information regarding Corie Hargrove most recently updated?
The details pertaining to the Corie Hargrove, including its address, specialty, and other relevant information, were last refreshed on 2012-12-06.