Provider Demographics
NPI:1639364987
Name:RAJANDRAN, JAYNTHI (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:JAYNTHI
Middle Name:
Last Name:RAJANDRAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:JAYN
Other - Middle Name:
Other - Last Name:RAJANDRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:2730 ADELINE ST
Mailing Address - Street 2:EBCRP
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-2408
Mailing Address - Country:US
Mailing Address - Phone:510-516-3188
Mailing Address - Fax:
Practice Address - Street 1:2730 ADELINE ST
Practice Address - Street 2:EBCRP
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-2408
Practice Address - Country:US
Practice Address - Phone:510-516-3188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50666106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist