Provider Demographics
NPI:1568830412
Name:STANCO, CHRISTINA JOAN (LMHC, MA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:JOAN
Last Name:STANCO
Suffix:
Gender:F
Credentials:LMHC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 TINSEL CT
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-1936
Mailing Address - Country:US
Mailing Address - Phone:516-754-7618
Mailing Address - Fax:
Practice Address - Street 1:56 TINSEL CT
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-1936
Practice Address - Country:US
Practice Address - Phone:516-754-7618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006761101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health