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Gardner Carlson
Licensed Psychiatric Technician in Santa Rosa, California
NPI 1063977460

Gardner Carlson is a Licensed Psychiatric Technician based in Santa Rosa, CA. Gardner Carlson practices in Santa Rosa, CA. The NPI Number for Gardner Carlson is 1063977460 and holds a License No. 31251 (California).

The current practice location address for Gardner Carlson is 2225 Challenger Way, Santa Rosa, CA and can be reached out via phone at 707-565-4970 and via fax at 707-565-5183.

Location: 2225 Challenger Way, Santa Rosa, CA, 95407-5441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063977460
Provider Name
Gardner Carlson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2225 Challenger Way, Santa Rosa, CA, 95407-5441
Phone Number
707-565-4970
Fax Number
707-565-5183
Provider Enumeration Date
02/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2225 Challenger Way
City
Santa Rosa
State
California
Zip
95407-5441
Phone Number
707-565-4970
Fax Number
707-565-5183
person
Provider Business Mailing Address Details
Address
2225 Challenger Way
City
Santa Rosa
State
California
Zip
95407-5441
Phone Number
707-565-4970
Fax Number
707-565-5183
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
31251 (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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