NPI 1003285354

Stacey Crandall

Practitioner Addiction (Substance Use Disorder) Counselor Des Moines, IA

Practice location

Address: 1409 Clark St, Des Moines, IA 50314-1964
Phone: (515) 643-6500

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1003285354
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2015
Record last updated: 16 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.