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Jacob Adam Zavala
Licensed Psychiatric Technician in San Luis Obispo, California
NPI 1114554227

Jacob Adam Zavala is a Licensed Psychiatric Technician based in Arroyo Grande, CA. Jacob Adam Zavala practices in San Luis Obispo, CA. The NPI Number for Jacob Adam Zavala is 1114554227 and holds a License No. 41575 (California).

The current practice location address for Jacob Adam Zavala is 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA and can be reached out via phone at 805-439-4890.

Location: 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA, 93420-3844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114554227
Provider Name
Jacob Adam Zavala
Credential
Provider Entity Type
Individual
Gender
Male
Address
2945 Mcmillan Ave Ste 240, San Luis Obispo, CA, 93420-3844
Phone Number
805-439-4890
Fax Number
Provider Enumeration Date
03/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2945 Mcmillan Ave Ste 240
City
San Luis Obispo
State
California
Zip
93401-6771
Phone Number
805-439-4890
Fax Number
person
Provider Business Mailing Address Details
Address
2945 Mcmillan Ave Ste 240
City
San Luis Obispo
State
California
Zip
93401-6771
Phone Number
805-439-4890
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
41575 (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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