Individual
RAYMOND GLENN CRANDALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP61656010
Contact information
Practice address
14819 E MISSION AVE, SPOKANE VALLEY, WA 99216-1960
(206) 566-2797
Mailing address
14819 E MISSION AVE, SPOKANE VALLEY, WA 99216-1960
(206) 566-2797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61176966
WA
101YM0800X
Mental Health Counselor
CG61689414
WA
Other
Enumeration date
07/12/2023
Last updated
08/21/2025
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