Provider Demographics
NPI:1154849248
Name:RAJNIC, SEAN JAMES (LPC)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:JAMES
Last Name:RAJNIC
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 PEREGRINE CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17554-1136
Mailing Address - Country:US
Mailing Address - Phone:717-682-0653
Mailing Address - Fax:
Practice Address - Street 1:3611 PEREGRINE CIR
Practice Address - Street 2:
Practice Address - City:MOUNTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17554-1136
Practice Address - Country:US
Practice Address - Phone:717-682-0653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005418101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional