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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