Provider Demographics
NPI:1720110869
Name:NJARAMBA, MARY WANJIKU (MACO, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:WANJIKU
Last Name:NJARAMBA
Suffix:
Gender:F
Credentials:MACO, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8211 WILLOWGLEN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3346
Mailing Address - Country:US
Mailing Address - Phone:919-266-7784
Mailing Address - Fax:
Practice Address - Street 1:8211 WILLOWGLEN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-3346
Practice Address - Country:US
Practice Address - Phone:919-266-7784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2008-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103680Medicaid