| Doctor Name: | RACHIDA BEJJA |
| NPI Number: | 1013232172 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSED, LMHC |
| License Number: | 655-3-1-10A |
| Business Practice Address: | 10828 Coldwater Rd Fort Wayne, IN - 468451241 |
| Business Phone Number: | 2604158267 |
| Business Fax Number: | 2604260270 |
| Mailing Address: | 10828 Coldwater Rd, FORT WAYNE |
| State: | IN |
| Postal Code: | 468451241 |
| Phone Number: | 2604158267 |
| Fax Number: | 2604260270 |
| NPI Enumeration Date: | 04/01/2010 |
| NPI Last Update Date: | 08/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 655-3-1-10A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |