Individual provider · Type 1 NPI

Michelle Pongol

Licensed Psychiatric Technician · Pleasant Hill, CA

NPI number 1326496142 Active

Practice location

550 Patterson Blvd
Pleasant Hill, CA 94523-4155

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X38163 (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 1326496142

Michelle Pongol's National Provider Identifier is 1326496142, issued on Jun 2, 2016. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Pleasant Hill, CA. The record was last updated on Jun 2, 2016.