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Carlos Jacobo Adame
Licensed Psychiatric Technician in Riverside, California
NPI 1154882769

Carlos Jacobo Adame is a Licensed Psychiatric Technician based in Riverside, CA. Carlos Jacobo Adame practices in Riverside, CA. The NPI Number for Carlos Jacobo Adame is 1154882769 and holds a License No. 40748 (California).

The current practice location address for Carlos Jacobo Adame is 17270 Roosevelt St, Riverside, CA and can be reached out via phone at 951-683-6596.

Location: 17270 Roosevelt St, Riverside, CA, 92504-2037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154882769
Provider Name
Carlos Jacobo Adame
Credential
Provider Entity Type
Individual
Gender
Male
Address
17270 Roosevelt St, Riverside, CA, 92504-2037
Phone Number
951-683-6596
Fax Number
Provider Enumeration Date
03/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17270 Roosevelt St
City
Riverside
State
California
Zip
92508-9523
Phone Number
951-683-6596
Fax Number
person
Provider Business Mailing Address Details
Address
17270 Roosevelt St
City
Riverside
State
California
Zip
92508-9523
Phone Number
951-683-6596
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
40748 (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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