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Crystal Shauna Roncancio
Mental Health Counselor in San Rafael, California
NPI 1225311863

Crystal Shauna Roncancio is a Mental Health Counselor based in San Rafael, CA and is specialized in Mental Health. Crystal Shauna Roncancio practices in San Rafael, CA. The NPI Number for Crystal Shauna Roncancio is 1225311863 and holds a License No. (California).

The current practice location address for Crystal Shauna Roncancio is 900 5Th Ave Ste 150, San Rafael, CA and can be reached out via phone at 415-457-6964.

Location: 900 5Th Ave Ste 150, San Rafael, CA, 94901-4365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225311863
Provider Name
Crystal Shauna Roncancio
Credential
Provider Entity Type
Individual
Gender
Female
Address
900 5Th Ave Ste 150, San Rafael, CA, 94901-4365
Phone Number
415-457-6964
Fax Number
Provider Enumeration Date
09/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 5Th Ave Ste 150
City
San Rafael
State
California
Zip
94901-2928
Phone Number
415-457-6964
Fax Number
person
Provider Business Mailing Address Details
Address
900 5Th Ave Ste 150
City
San Rafael
State
California
Zip
94901-2928
Phone Number
415-457-6964
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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