Individual provider · Type 1 NPI
Wade Tyrone Crowell Jr., RADT
Addiction (Substance Use Disorder) Counselor · Lancaster, CA
NPI number
1609744952
Active
Practice location
44459 10th St W
Lancaster, CA 93534-3324
Mailing address
38000 17th St E Apt 19
Palmdale, CA 93550-5103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1587951124 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609744952
Wade Tyrone Crowell Jr., RADT's National Provider Identifier is 1609744952, issued on Oct 28, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, CA. The record was last updated on Oct 30, 2025.