Stacey Crandall
Addiction Counselor (Substance Use Disorder)
1409 Clark St
Des Moines
, Iowa 50314-1964
Stacey Crandall
Addiction Counselor (Substance Use Disorder)
1409 Clark St
Des Moines
, Iowa 50314-1964
(515) 643-6500
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Stacey Crandall
- 1409 Clark St
- Des Moines, IA
- Zip : 50314-1964
- Phone : (515) 643-6500
Second Address
- Stacey Crandall
- 1409 Clark St
- Des Moines, IA
- Zip : 50314-1964
- Phone : (515) 643-6500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003285354 |
|---|---|
| Provider Name | Stacey Crandall |
| First Address | Des Moines, IA 50314-1964 |
| Second Address | Des Moines, IA 50314-1964 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2015 |
| Last Update Date | 16/09/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.