Provider Demographics
NPI:1528376167
Name:RAMAN, RAJNISH (COUNSELOR)
Entity Type:Individual
Prefix:MR
First Name:RAJNISH
Middle Name:
Last Name:RAMAN
Suffix:
Gender:M
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 27TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-2670
Mailing Address - Country:US
Mailing Address - Phone:916-583-2324
Mailing Address - Fax:
Practice Address - Street 1:2550 27TH ST APT 4
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-2670
Practice Address - Country:US
Practice Address - Phone:916-583-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB5098663101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)