Individual provider · Type 1 NPI

Joann Lupita Jackson

Licensed Psychiatric Technician · Indio, CA

NPI number 1285421099 Active

Practice location

47915 Oasis St
Indio, CA 92201-6950

Call (760) 863-8600 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X31387 (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 1285421099

Joann Lupita Jackson's National Provider Identifier is 1285421099, issued on Apr 23, 2025. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Indio, CA. The record was last updated on Apr 23, 2025.