| Doctor Name: | MRS. JAYSHREE AGRAWAL |
| NPI Number: | 1285998286 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LCADC, CCS |
| License Number: | 37LC00175200 |
| Business Practice Address: | 4 Clark St Sayreville Sayreville, NJ - 088721583 |
| Business Phone Number: | 2012205458 |
| Business Fax Number: | |
| Mailing Address: | 4 Clark St, Sayreville SAYREVILLE |
| State: | NJ |
| Postal Code: | 088721583 |
| Phone Number: | 2012205458 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2012 |
| NPI Last Update Date: | 05/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00175200 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |