Individual provider · Type 1 NPI

Connie Cooks

Licensed Psychiatric Technician · San Diego, CA

NPI number 1851571939 Active

Practice location

600 B St, Suite 1570
San Diego, CA 92101-4520

Fax (619) 615-3197

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X23662 (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 1851571939

Connie Cooks's National Provider Identifier is 1851571939, issued on Nov 6, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 7, 2011.