Individual provider · Type 1 NPI

Jonathan R. Crandall

Addiction (Substance Use Disorder) Counselor · Syracuse, NY

NPI number 1093636490 Active

Practice location

329 N Salina St
Syracuse, NY 13203-1755

Call (315) 471-1564 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNONE (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093636490

Jonathan R. Crandall's National Provider Identifier is 1093636490, issued on Jul 22, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Syracuse, NY. The record was last updated on Jul 22, 2026.