Individual provider · Type 1 NPI

Avery Corrine Cordova

Licensed Psychiatric Technician · Arroyo Grande, CA

NPI number 1285347948 Active

Practice location

1350 E Grand Ave
Arroyo Grande, CA 93420-2422

Call (805) 474-2176 Map

Fax (805) 473-7060

Mailing address

354 S Halcyon Rd Ste C
Arroyo Grande, CA 93420-3879

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X37349 (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 1285347948

Avery Corrine Cordova's National Provider Identifier is 1285347948, issued on Dec 27, 2022. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Arroyo Grande, CA. The record was last updated on Jul 21, 2026.