MEDICARE: ISHA RAJVANSHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHCA.MC.70040983	WA

General Provider Information

NPI Number	:	1164364394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISHA RAJVANSHI

Provider Business Mailing Address
First Line	:	932 49TH PL SW
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-1750
Country	:	US
Telephone Number	:	626-884-4578
Fax Number	:	888-718-4696

Provider Business Practice Location Address
First Line	:	932 49TH PL SW
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-1750
Country	:	US
Telephone Number	:	626-884-4578
Fax Number	:	888-718-4696

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ ISHA RAJVANSHI ” Practice Location

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