Individual provider · Type 1 NPI

Kenneth Jason Holmes

Licensed Psychiatric Technician · San Diego, CA

NPI number 1598032229 Active

Practice location

734 10th Ave
San Diego, CA 92101-6502

Call (619) 239-4663 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT36002 (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 1598032229

Kenneth Jason Holmes's National Provider Identifier is 1598032229, issued on Nov 23, 2011. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Diego, CA. The record was last updated on Dec 1, 2011.