Individual provider · Type 1 NPI

Agatha N. Ihenacho, LPT

Licensed Psychiatric Technician · San Jose, CA

NPI number 1871622761 Active

Practice location

455 Silicon Valley Blvd
San Jose, CA 95138

Call (408) 284-9000 Map

Mailing address

6381 Blackberry Ct
Gilroy, CA 95020-3424

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT31594 (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 1871622761

Agatha N. Ihenacho, LPT's National Provider Identifier is 1871622761, issued on Mar 5, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.