Provider Demographics
NPI:1720817455
Name:RANJO, KRISTIN CARA PENA (MFTC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:CARA PENA
Last Name:RANJO
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 W HAPPY CANYON RD STE 150
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3917
Mailing Address - Country:US
Mailing Address - Phone:720-608-0379
Mailing Address - Fax:
Practice Address - Street 1:858 W HAPPY CANYON RD STE 150
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-3917
Practice Address - Country:US
Practice Address - Phone:720-608-0379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor