Individual provider · Type 1 NPI

Theresa Ann Jordan, LPT41449

Licensed Psychiatric Technician · Sacramento, CA

NPI number 1023659182 Active

Practice location

6950 65th St
Sacramento, CA 95823-2316

Call (916) 393-1222 Map

Fax (916) 393-4512

Mailing address

530 Eastbrook Cir
Sacramento, CA 95835-1348

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X41449 (CA)

Licensed Psychiatric Technician: 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 psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1023659182

Theresa Ann Jordan, LPT41449's National Provider Identifier is 1023659182, issued on Sep 30, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 30, 2019.