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Mr. Wade Rollin Crandall
Counselor in Coon Rapids, Minnesota
NPI 1649510587

Wade Rollin Crandall is a Counselor based in New Brighton, MN. Wade Rollin Crandall practices in Coon Rapids, MN. The NPI Number for Wade Rollin Crandall is 1649510587 and holds a License No. CC00541 (Minnesota).

The current practice location address for Wade Rollin Crandall is 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN and can be reached out via phone at 763-767-3350 and via fax at 763-767-0912.

Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN, 55112-1786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649510587
Provider Name
Wade Rollin Crandall
Credential
Provider Entity Type
Individual
Gender
Male
Address
3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN, 55112-1786
Phone Number
763-767-3350
Fax Number
763-767-0912
Provider Enumeration Date
02/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3833 Coon Rapids Blvd Nw Ste 120
City
Coon Rapids
State
Minnesota
Zip
55433-2599
Phone Number
763-767-3350
Fax Number
763-767-0912
person
Provider Business Mailing Address Details
Address
3833 Coon Rapids Blvd Nw Ste 120
City
Coon Rapids
State
Minnesota
Zip
55433-2599
Phone Number
763-767-3350
Fax Number
763-767-0912
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CC00541 (Minnesota)
Definition
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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