Individual provider · Type 1 NPI

Wade Rollin Crandall

Counselor · Coon Rapids, MN

NPI number 1649510587 Active

Practice location

3833 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-2599

Call (763) 767-3350 Map

Fax (763) 767-0912

Mailing address

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCC00541 (MN)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1649510587

Wade Rollin Crandall's National Provider Identifier is 1649510587, issued on Feb 28, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Feb 7, 2019.