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

Crystal Shauna Roncancio

Individual provider Mental Health Counselor · NPI 1225311863

Crystal Shauna Roncancio is a Mental Health Counselor in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

900 5th Ave Ste 150
San Rafael, CA 94901-2928
Phone: (415) 457-6964
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1225311863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 20, 2011
Last updated in NPPESSeptember 20, 2011

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