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Jennifer Fay Mosson
Licensed Psychiatric Technician in La Verne, California
NPI 1235492612

Jennifer Fay Mosson is a Licensed Psychiatric Technician based in La Verne, CA. Jennifer Fay Mosson practices in La Verne, CA. The NPI Number for Jennifer Fay Mosson is 1235492612 and holds a License No. PT34218 (California).

The current practice location address for Jennifer Fay Mosson is 233 Baseline Rd, La Verne, CA and can be reached out via phone at 909-593-2581 and via fax at 909-596-3567.

Location: 233 Baseline Rd, La Verne, CA, 91750-2353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235492612
Provider Name
Jennifer Fay Mosson
Credential
Provider Entity Type
Individual
Gender
Female
Address
233 Baseline Rd, La Verne, CA, 91750-2353
Phone Number
909-593-2581
Fax Number
909-596-3567
Provider Enumeration Date
06/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7565A 01 CA OUTPATIENT MENTAL HEALTH
institution
Provider Business Practice Location Address Details
Address
233 Baseline Rd
City
La Verne
State
California
Zip
91750-2353
Phone Number
909-593-2581
Fax Number
909-596-3567
person
Provider Business Mailing Address Details
Address
233 Baseline Rd
City
La Verne
State
California
Zip
91750-2353
Phone Number
909-593-2581
Fax Number
909-596-3567
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT34218 (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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