Individual
GINGER CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
628 S COWLEY ST, SPOKANE, WA 99202-1377
(509) 570-7250
Mailing address
1318 N LEE ST, SPOKANE, WA 99202-2607
(360) 703-2549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61532195
WA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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