Jonathan R Crandall
Counselor, Addiction (Substance Use Disorder) in Syracuse, NY. Individual provider (NPI-1).
NPI number1093636490
StatusActive
Last updated in NPPESJul 22, 2026
Details
- NPI
- 1093636490
- Entity type
- Individual (NPI-1)
- Name
- Jonathan R Crandall
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2026
- Certification date
- Jul 22, 2026
- Last updated
- Jul 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | None | NY | Yes |
Practice location
329 N Salina StSyracuse, NY 13203-1755
Phone 315-471-1564
Mailing address
329 N Salina StSyracuse, NY 13203-1755
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