Individual provider · Type 1 NPI

Mariana S. Carrillo

Licensed Psychiatric Technician · Anaheim, CA

NPI number 1972143592 Active

Practice location

201 S Knott Ave Apt 3
Anaheim, CA 92804-1478

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	41292 (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 1972143592

Mariana S. Carrillo's National Provider Identifier is 1972143592, issued on Jan 11, 2020. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Anaheim, CA. The record was last updated on Jan 11, 2020.