Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randall Crisco, PRSS

Individual provider Peer Specialist · NPI 1306523881

Randall Crisco, PRSS is a Peer Specialist in Princeton, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

200 12th Street Ext
Princeton, WV 24740-2329
Phone: (304) 425-9541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 23-9121 (WV)

Record details

NPI number1306523881
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorYes
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address200 12th Street Ext, Princeton, WV 24740-2329

Other providers in Princeton