person
Mr. Raymond K Spade, SAC
Addiction (Substance Use Disorder) Counselor in Beloit, Wisconsin
NPI 1821436973

Raymond K Spade is an Addiction (Substance Use Disorder) Counselor based in Beloit, WI and is specialized in Addiction (Substance Use Disorder). Raymond K Spade practices in Beloit, WI and has the professional credentials of SAC. The NPI Number for Raymond K Spade is 1821436973 and holds a License No. 16737130 (Wisconsin).

The current practice location address for Raymond K Spade is 2240 Prairie Ave., Beloit, WI and can be reached out via phone at 608-361-7200 and via fax at 608-361-7201.

Location: 2240 Prairie Ave., Beloit, WI, 53511-2648
person
Provider Profile Details
NPI Number
1821436973
Provider Name
Raymond K Spade
Credential
SAC
Provider Entity Type
Individual
Gender
Male
Address
2240 Prairie Ave., Beloit, WI, 53511-2648
Phone Number
608-361-7200
Fax Number
608-361-7201
Provider Enumeration Date
06/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2240 Prairie Ave.
City
State
Zip
53511
Phone Number
608-361-7200
Fax Number
608-361-7201
person
Provider Business Mailing Address Details
Address
2240 Prairie Ave.
City
State
Zip
53511
Phone Number
608-361-7200
Fax Number
608-361-7201
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16737130 (Wisconsin)
Definition
Definition to come...
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