Individual provider · Type 1 NPI

Brooke J. Jordan, PT

Licensed Psychiatric Technician · San Luis Obispo, CA

NPI number 1689917510 Active

Practice location

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Call (805) 781-4700 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X36330 (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 1689917510

Brooke J. Jordan, PT's National Provider Identifier is 1689917510, issued on Mar 28, 2013. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Mar 28, 2013.