Provider Demographics
NPI:1215773221
Name:RANCO, CHRISTY (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:RANCO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W BRANDT BLVD
Mailing Address - Street 2:
Mailing Address - City:SALUNGA
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45 W BRANDT BLVD
Practice Address - Street 2:
Practice Address - City:SALUNGA
Practice Address - State:PA
Practice Address - Zip Code:17538-1105
Practice Address - Country:US
Practice Address - Phone:717-282-2908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017354101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional