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Lisa M Nichols
Licensed Psychiatric Technician in Stockton, California
NPI 1083287536

Lisa M Nichols is a Licensed Psychiatric Technician based in Stockton, CA. Lisa M Nichols practices in Stockton, CA. The NPI Number for Lisa M Nichols is 1083287536 and holds a License No. 36474 (California).

The current practice location address for Lisa M Nichols is 1212 N California St, Stockton, CA and can be reached out via phone at 209-468-0103.

Location: 1212 N California St, Stockton, CA, 95202-1552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083287536
Provider Name
Lisa M Nichols
Credential
Provider Entity Type
Individual
Gender
Female
Address
1212 N California St, Stockton, CA, 95202-1552
Phone Number
209-468-0103
Fax Number
Provider Enumeration Date
07/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-0103
Fax Number
person
Provider Business Mailing Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-0103
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
36474 (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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