Individual provider · Type 1 NPI

Justen Dakota League, LPT

Licensed Psychiatric Technician · San Luis Obispo, CA

NPI number 1245965888 Active

Practice location

2975 Mcmillan Ave Ste 164
San Luis Obispo, CA 93401-6768

Call (805) 439-4890 Map

Mailing address

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Other practice locations

  • 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 · (805) 781-4700

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X41076 (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 1245965888

Justen Dakota League, LPT's National Provider Identifier is 1245965888, issued on Jul 18, 2022. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 3, 2025.