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Mrs. Jacquene J Richardson
Licensed Psychiatric Technician in Los Angeles, California
NPI 1053699850

Jacquene J Richardson is a Licensed Psychiatric Technician based in San Bernardino, CA. Jacquene J Richardson practices in Los Angeles, CA. The NPI Number for Jacquene J Richardson is 1053699850 and holds a License No. PT36012 (California).

The current practice location address for Jacquene J Richardson is 3875 S Western Ave, Los Angeles, CA and can be reached out via phone at 323-290-4373.

Location: 3875 S Western Ave, Los Angeles, CA, 92407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053699850
Provider Name
Jacquene J Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3875 S Western Ave, Los Angeles, CA, 92407
Phone Number
323-290-4373
Fax Number
Provider Enumeration Date
07/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3875 S Western Ave
City
Los Angeles
State
California
Zip
90062-1105
Phone Number
323-290-4373
Fax Number
person
Provider Business Mailing Address Details
Address
3875 S Western Ave
City
Los Angeles
State
California
Zip
90062-1105
Phone Number
323-290-4373
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT36012 (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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