Individual provider · Type 1 NPI
Michelle Denise Jackson, LPT
Licensed Psychiatric Technician · Banning, CA
Practice location
1330 W Ramsey St Ste 100
Banning, CA 92220-4477
Fax (951) 849-1762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | PT 30277 (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…
3 other providers at this address
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- Jennifer Louise Ponder- PetersLicensed Psychiatric Technician Banning, CA NPI 1376780296
- Katelyn Temple Hutchinson Arellano, LPTLicensed Psychiatric Technician Banning, CA NPI 1700420817
- Bertha Alicia Alatorre, LPTLicensed Psychiatric Technician Banning, CA NPI 1740824085
- Sean Manzano, LPTLicensed Psychiatric Technician Banning, CA NPI 1861257594
About NPI 1033460761
Michelle Denise Jackson, LPT's National Provider Identifier is 1033460761, issued on Sep 20, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Banning, CA. The record was last updated on Sep 20, 2012.