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Robert Crandall

Counselor in Janesville, WI. Individual provider (NPI-1).

NPI number1619829306
StatusActive
Last updated in NPPESFeb 13, 2026

Details

NPI
1619829306
Entity type
Individual (NPI-1)
Name
Robert Crandall
Sex
Male
Sole proprietor
No
Enumeration date
Feb 13, 2026
Certification date
Feb 13, 2026
Last updated
Feb 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor8727226WIYes

Practice location

4465 Milton Ave Ste 107
Janesville, WI 53546-9145

Phone 608-302-6395 · Fax 608-302-6381

Mailing address

4465 Milton Ave Ste 107
Janesville, WI 53546-9145

Phone 608-302-6395 · Fax 608-302-6381

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