Individual provider · Type 1 NPI

Lena Jackson

Licensed Psychiatric Technician · Chula Vista, CA

NPI number 1396100996 Active

Practice location

730 Medical Center Ct
Chula Vista, CA 91911-6618

Call (619) 397-6901 Map

Mailing address

1250 Santa Cora Ave Apt 721
Chula Vista, CA 91913-1556

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X37981 (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 1396100996

Lena Jackson's National Provider Identifier is 1396100996, issued on Dec 23, 2015. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Chula Vista, CA. The record was last updated on Dec 23, 2015.