Individual provider · Type 1 NPI

Jesse O. Ruacho

Licensed Psychiatric Technician · Colton, CA

NPI number 1346766813 Active

Practice location

400 N Pepper Ave
Colton, CA 92324-1801

Call (909) 580-3145 Map

Fax (909) 580-2165

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X40441 (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 1346766813

Jesse O. Ruacho's National Provider Identifier is 1346766813, issued on Aug 16, 2017. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Colton, CA. The record was last updated on Jul 21, 2022.