Provider Demographics
NPI:1043930837
Name:KEJRIWAL, RACHNA (RTTP, CHT, BSBME)
Entity Type:Individual
Prefix:
First Name:RACHNA
Middle Name:
Last Name:KEJRIWAL
Suffix:
Gender:F
Credentials:RTTP, CHT, BSBME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 E 57TH ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3067
Mailing Address - Country:US
Mailing Address - Phone:917-519-9151
Mailing Address - Fax:
Practice Address - Street 1:417 E 57TH ST APT 2C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3067
Practice Address - Country:US
Practice Address - Phone:917-519-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health