Individual provider · Type 1 NPI

Evangelina Gonzalez

Licensed Psychiatric Technician · Fresno, CA

NPI number 1750001699 Active

Practice location

4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604

Mailing address

3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X40881 (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 1750001699

Evangelina Gonzalez's National Provider Identifier is 1750001699, issued on Aug 31, 2022. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fresno, CA. The record was last updated on Aug 31, 2022.