Individual provider · Type 1 NPI

Charles Ethian Jones

Licensed Psychiatric Technician · Victorville, CA

NPI number 1437005964 Active

Practice location

12625 Hesperia Rd
Victorville, CA 92395-7720

Call (909) 421-9311 Map

Mailing address

12143 Galaxy St
Victorville, CA 92392-9528

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X29354 (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 1437005964

Charles Ethian Jones's National Provider Identifier is 1437005964, issued on Mar 6, 2026. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Victorville, CA. The record was last updated on Mar 6, 2026.