Individual
STACEY LYNN CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
100 CORPORATE DR, MORGANTOWN, WV 26501-4580
(304) 241-1766
(304) 381-2648
Mailing address
648 ROCKLEY RD, MORGANTOWN, WV 26508-2931
(304) 777-8620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P54457
NY
101YP2500X
Professional Counselor
Primary
2072
WV
Other
Enumeration date
11/08/2006
Last updated
07/16/2025
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