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Avery Corrine Cordova
Licensed Psychiatric Technician in Arroyo Grande, California
NPI 1285347948

Avery Corrine Cordova is a Licensed Psychiatric Technician based in Arroyo Grande, CA. Avery Corrine Cordova practices in Arroyo Grande, CA. The NPI Number for Avery Corrine Cordova is 1285347948 and holds a License No. 37349 (California).

The current practice location address for Avery Corrine Cordova is 354 S Halcyon Rd Ste C, Arroyo Grande, CA and can be reached out via phone at 805-473-7060. You can also correspond with Avery Corrine Cordova through the mailing address at 354 S HALCYON RD STE C, ARROYO GRANDE, CA - 93420-3879 (mailing address contact number: 805-473-7060).

Location: 354 S Halcyon Rd Ste C, Arroyo Grande, CA, 93420-3879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285347948
Provider Name
Avery Corrine Cordova
Credential
Provider Entity Type
Individual
Gender
Female
Address
354 S Halcyon Rd Ste C, Arroyo Grande, CA, 93420-3879
Phone Number
805-473-7060
Fax Number
Provider Enumeration Date
12/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
354 S Halcyon Rd Ste C
City
Arroyo Grande
State
California
Zip
93420-3879
Phone Number
805-473-7060
Fax Number
person
Provider Business Mailing Address Details
Address
354 S Halcyon Rd Ste C
City
Arroyo Grande
State
California
Zip
93420-3879
Phone Number
805-473-7060
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
37349 (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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