Individual provider · Type 1 NPI

Raymond Glenn Crandall Iii, CP61656010

Addiction (Substance Use Disorder) Counselor · Spokane Valley, WA

NPI number 1376222893 Active

Practice location

14819 E Mission Ave
Spokane Valley, WA 99216-1960

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XCG61689414 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61176966 (WA)

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

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About NPI 1376222893

Raymond Glenn Crandall Iii, CP61656010's National Provider Identifier is 1376222893, issued on Jul 12, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane Valley, WA. The record was last updated on Aug 21, 2025.