person
Sammy Joe Rangel, CSAC
Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin
NPI 1013166891

Sammy Joe Rangel is an Addiction (Substance Use Disorder) Counselor based in Racine, WI and is specialized in Addiction (Substance Use Disorder). Sammy Joe Rangel practices in Racine, WI and has the professional credentials of CSAC. The NPI Number for Sammy Joe Rangel is 1013166891 and holds a License No. 14088-132 (Wisconsin).

The current practice location address for Sammy Joe Rangel is 840 Lake Ave, Racine, WI and can be reached out via phone at 262-634-8688 and via fax at 262-634-7547.

Location: 840 Lake Ave, Racine, WI, 53403-1566
person
Provider Profile Details
NPI Number
1013166891
Provider Name
Sammy Joe Rangel
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
840 Lake Ave, Racine, WI, 53403-1566
Phone Number
262-634-8688
Fax Number
262-634-7547
Provider Enumeration Date
09/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14088-132 01 WI STATE OF WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
institution
Provider Business Practice Location Address Details
Address
840 Lake Ave
City
State
Zip
53403-1566
Phone Number
262-634-8688
Fax Number
262-634-7547
person
Provider Business Mailing Address Details
Address
840 Lake Ave
City
State
Zip
53403-1566
Phone Number
262-634-8688
Fax Number
262-634-7547
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14088-132 (Wisconsin)
Definition
Definition to come...
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