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Ms. Michelle Denise Jackson, LPT
Licensed Psychiatric Technician in Banning, California
NPI 1033460761

Michelle Denise Jackson is a Licensed Psychiatric Technician based in Banning, CA. Michelle Denise Jackson practices in Banning, CA and has the professional credentials of LPT. The NPI Number for Michelle Denise Jackson is 1033460761 and holds a License No. PT 30277 (California).

The current practice location address for Michelle Denise Jackson is 1330 W Ramsey St Ste 100, Banning, CA and can be reached out via phone at 951-849-7142 and via fax at 951-849-1762.

Location: 1330 W Ramsey St Ste 100, Banning, CA, 92220-4477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033460761
Provider Name
Michelle Denise Jackson
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
1330 W Ramsey St Ste 100, Banning, CA, 92220-4477
Phone Number
951-849-7142
Fax Number
951-849-1762
Provider Enumeration Date
09/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1330 W Ramsey St Ste 100
City
Banning
State
California
Zip
92220-4477
Phone Number
951-849-7142
Fax Number
951-849-1762
person
Provider Business Mailing Address Details
Address
1330 W Ramsey St Ste 100
City
Banning
State
California
Zip
92220-4477
Phone Number
951-849-7142
Fax Number
951-849-1762
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 30277 (California)
Definition
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 disorders and developmental disabilities.
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