Individual provider · Type 1 NPI

Jacob Alexander Dahneke I

Licensed Psychiatric Technician · Norwalk, CA

NPI number 1477829000 Active

Practice location

11401 Bloomfield Ave
Norwalk, CA 90650-2015

Call (530) 559-3820 Map

Mailing address

PO Box 695
Summerland, CA 93067-0695

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X28078 (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 1477829000

Jacob Alexander Dahneke I's National Provider Identifier is 1477829000, issued on Mar 28, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Norwalk, CA. The record was last updated on Mar 29, 2012.