Individual provider · Type 1 NPI
Dominique Renee Stephens
Licensed Psychiatric Technician · Nevada City, CA
Practice location
24077 CA-49
Nevada City, CA 95959
Mailing address
201 D St Ste G
Marysville, CA 95901-5957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 42288 (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…
Another provider at this address
About NPI 1841773702
Dominique Renee Stephens's National Provider Identifier is 1841773702, issued on Sep 7, 2018. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Nevada City, CA. The record was last updated on Sep 22, 2022.