Individual provider · Type 1 NPI

Reginald Kevin Holmes

Licensed Psychiatric Technician · Grover Beach, CA

NPI number 1295885143 Active

Practice location

516 S 14th St
Grover Beach, CA 93433-2843

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT 28015 (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 1295885143

Reginald Kevin Holmes's National Provider Identifier is 1295885143, issued on Jan 11, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Grover Beach, CA. The record was last updated on Jul 8, 2007.