Provider Demographics
NPI:1053422071
Name:ARMAGH, RAYNA SIDNEY (MFT-INTERN)
Entity type:Individual
Prefix:MS
First Name:RAYNA
Middle Name:SIDNEY
Last Name:ARMAGH
Suffix:
Gender:F
Credentials:MFT-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9551 BUTTERFIELD WAY
Mailing Address - Street 2:APARTMENT 19
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1085
Mailing Address - Country:US
Mailing Address - Phone:916-423-1157
Mailing Address - Fax:916-423-2019
Practice Address - Street 1:9211 GERBER RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-1130
Practice Address - Country:US
Practice Address - Phone:916-423-1157
Practice Address - Fax:916-423-2019
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49652101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health