Provider Demographics
NPI:1265071708
Name:HAYES, RAJNI RAETAESHA (CAADE)
Entity type:Individual
Prefix:
First Name:RAJNI
Middle Name:RAETAESHA
Last Name:HAYES
Suffix:
Gender:F
Credentials:CAADE
Other - Prefix:
Other - First Name:RAJNI
Other - Middle Name:RAETAESHA
Other - Last Name:SESSION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAADE
Mailing Address - Street 1:1470 CIVIC CT # 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5290
Mailing Address - Country:US
Mailing Address - Phone:925-849-6173
Mailing Address - Fax:925-849-6832
Practice Address - Street 1:1470 CIVIC CT # 100
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5290
Practice Address - Country:US
Practice Address - Phone:925-849-6173
Practice Address - Fax:925-849-6832
Is Sole Proprietor?:No
Enumeration Date:2020-01-01
Last Update Date:2020-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13676-R101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)