Individual provider · Type 1 NPI
Stacey Crandall
Addiction (Substance Use Disorder) Counselor · Des Moines, IA
NPI number
1003285354
Active
Practice location
1409 Clark St
Des Moines, IA 50314-1964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003285354
Stacey Crandall's National Provider Identifier is 1003285354, issued on Sep 16, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Des Moines, IA. The record was last updated on Sep 16, 2015.