is a Licensed Psychiatric Technician in Victorville, California. practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for is 1902063936. The last update date is .
's current location address is 16460 Victor St, Victorville, California. You can contact this provider via phone number 7602458837 and fax number 7602458893. The mailing address for is 16460 Victor St, Victorville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 16460 Victor St, Victorville, California |
| Phone Number | 7602458837 |
| Fax Number | 7602458893 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902063936 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 16460 Victor St |
|---|---|
| City | Victorville |
| State | California (CA) |
| Post Code | 923953918 |
| Phone Number | 7602458837 |
| Fax Number | 7602458893 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 30576 |
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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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