Individual provider · Type 1 NPI

Lacy Pack

Licensed Psychiatric Technician · Yuba City, CA

NPI number 1992244552 Active

Practice location

1965 Live Oak Blvd
Yuba City, CA 95991-8850

Other practice locations

  • 2975 Mcmillan Ave Ste 164, San Luis Obispo, CA 93401-6768 · (805) 439-4890

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Licensed Psychiatric Technician 167G00000X41444 (CA)
Licensed Psychiatric Technician Primary 167G00000XNone listed

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 1992244552

Lacy Pack's National Provider Identifier is 1992244552, issued on Feb 15, 2017. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Yuba City, CA. The record was last updated on Aug 14, 2025.