Provider Demographics
NPI:1104434331
Name:THOMAS, ARCHANA CHATKARA (MA, ASSOCIATE MFT)
Entity type:Individual
Prefix:
First Name:ARCHANA
Middle Name:CHATKARA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MA, ASSOCIATE MFT
Other - Prefix:
Other - First Name:ARCHANA
Other - Middle Name:
Other - Last Name:CHATKARA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5701 LONETREE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-3794
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:974 PINE ST APT 9
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-2928
Practice Address - Country:US
Practice Address - Phone:916-741-3641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor