Individual provider · Type 1 NPI

Kelley Lynn Whitecotton

Licensed Psychiatric Technician · Grass Valley, CA

NPI number 1689021453 Active

Practice location

500 Crown Point Cir
Grass Valley, CA 95945

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Licensed Psychiatric Technician Primary 167G00000XPT40257 (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 1689021453

Kelley Lynn Whitecotton's National Provider Identifier is 1689021453, issued on May 20, 2016. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Grass Valley, CA. The record was last updated on Jan 31, 2017.