Carolyn Pascua De Jesus in Stockton - Licensed Psychiatric Technician
Carolyn Pascua De Jesus - NPI 1861650228
Carolyn Pascua De Jesus is a Licensed Psychiatric Technician in Stockton, California. Carolyn Pascua De Jesus practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Carolyn Pascua De Jesus is 1861650228. The last update date is 2008-06-01.
Carolyn Pascua De Jesus's current location address is 1212 N California St, Stockton, California. You can contact this provider via phone number 2094688686. The mailing address for Carolyn Pascua De Jesus is 1212 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Pascua De Jesus |
|---|---|
| Address | 1212 N California St, Stockton, California |
| Phone Number | 2094688686 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861650228 |
|---|---|
| Provider Enumeration Date | 2008-06-01 |
| Last Updated Date | 2008-06-01 |
Provider Mailing Address Detail
| Address | 1212 N California St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952021552 |
| Phone Number | 2094688686 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 34221 |
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Definition: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psych |
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Post Comment/ Review Below
What is the Carolyn Pascua De Jesus's 1861650228?
The Carolyn Pascua De Jesus's NPI (National Provider Identifier) Number is 1861650228. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Carolyn Pascua De Jesus is geographically located?
The Carolyn Pascua De Jesus is physically situated at the following location: 1212 N California St, Stockton, CA, 952021552.
What is Carolyn Pascua De Jesus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carolyn Pascua De Jesus's specialized field of practice is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this area of specialization is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861650228 to Carolyn Pascua De Jesus?
The Centers for Medicare & Medicaid Services originally issued the 1861650228 to Carolyn Pascua De Jesus on 2008-06-01.
As of what date were the details pertaining to Carolyn Pascua De Jesus last refreshed?
The information related to the Carolyn Pascua De Jesus, including its address, specialty, and other relevant details, was last updated on 2008-06-01.