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Ibrahim Keita, LVN/LPT
Licensed Psychiatric Technician in Santa Rosa, California
NPI 1184171134

Ibrahim Keita is a Licensed Psychiatric Technician based in Santa Rosa, CA. Ibrahim Keita practices in Santa Rosa, CA and has the professional credentials of LVN/LPT. The NPI Number for Ibrahim Keita is 1184171134 and holds a License No. PT28951 (California).

The current practice location address for Ibrahim Keita is 2148 Slater St, Santa Rosa, CA and can be reached out via phone at 707-694-9005.

Location: 2148 Slater St, Santa Rosa, CA, 95404-2428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184171134
Provider Name
Ibrahim Keita
Credential
LVN/LPT
Provider Entity Type
Individual
Gender
Male
Address
2148 Slater St, Santa Rosa, CA, 95404-2428
Phone Number
707-694-9005
Fax Number
Provider Enumeration Date
09/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2148 Slater St
City
Santa Rosa
State
California
Zip
95404-2428
Phone Number
707-694-9005
Fax Number
person
Provider Business Mailing Address Details
Address
2148 Slater St
City
Santa Rosa
State
California
Zip
95404-2428
Phone Number
707-694-9005
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT28951 (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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