Individual provider · Type 1 NPI
Connie Cooks
Licensed Psychiatric Technician · San Diego, CA
Practice location
600 B St, Suite 1570
San Diego, CA 92101-4520
Fax (619) 615-3197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 23662 (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.