Individual provider · Type 1 NPI

Crystal Shauna Roncancio

Mental Health Counselor · San Rafael, CA

NPI number 1225311863 Active

Practice location

900 5th Ave Ste 150
San Rafael, CA 94901-2928

Mailing address

177 Canal St Apt 9
San Rafael, CA 94901-4365

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225311863

Crystal Shauna Roncancio's National Provider Identifier is 1225311863, issued on Sep 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Sep 20, 2011.