Provider Demographics
NPI:1376193367
Name:JACHNA, RENATA (LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:RENATA
Middle Name:
Last Name:JACHNA
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 AMBOY AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2455
Mailing Address - Country:US
Mailing Address - Phone:732-902-2181
Mailing Address - Fax:
Practice Address - Street 1:46 MAIN ST STE 402
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1910
Practice Address - Country:US
Practice Address - Phone:973-986-3047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional