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Organization
JESSIE CRAWFORD RECOVERY CENTER
Active
Organization
JESSIE CRAWFORD RECOVERY CENTER
Active
Other names
JC Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA LABONTE (ADMIN)
(414) 858-4141
Entity
Organization
Contact information
Practice address
131 CLARMAR DR, SUN PRAIRIE, WI 53590-2664
(608) 318-0932
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 858-4141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124372586
—
WI
Enumeration date
11/06/2012
Last updated
07/14/2025
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