Individual provider · Type 1 NPI

Janice L. Gordon

Licensed Psychiatric Technician · Roseville, CA

NPI number 1770132136 Active

Practice location

1133 Coloma Way
Roseville, CA 95661-4480

Call (916) 774-6647 Map

Mailing address

14264 Nojack Ct
Penn Valley, CA 95946-9731

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X33828 (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 1770132136

Janice L. Gordon's National Provider Identifier is 1770132136, issued on Sep 9, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Roseville, CA. The record was last updated on Sep 9, 2019.