Individual provider · Type 1 NPI

James L. Blaylock, LPT-LMHW

Licensed Psychiatric Technician · Fresno, CA

NPI number 1770102238 Active

Practice location

3133 N Millbrook Ave
Fresno, CA 93703-1425

Call (559) 600-9180 Map

Mailing address

1200 Mission St
Madera, CA 93638-2231

Other practice locations

  • 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 · (559) 600-9180

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X35805 (CA)
Licensed Psychiatric Technician 167G00000XNone listed

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 1770102238

James L. Blaylock, LPT-LMHW's National Provider Identifier is 1770102238, issued on Apr 14, 2020. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fresno, CA. The record was last updated on Dec 8, 2020.