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Jacob Alexander Dahneke I
Licensed Psychiatric Technician in Norwalk, California
NPI 1477829000

Jacob Alexander Dahneke I is a Licensed Psychiatric Technician based in Summerland, CA. Jacob Alexander Dahneke I practices in Norwalk, CA. The NPI Number for Jacob Alexander Dahneke I is 1477829000 and holds a License No. 28078 (California).

The current practice location address for Jacob Alexander Dahneke I is 11401 Bloomfield Ave, Norwalk, CA and can be reached out via phone at 530-559-3820.

Location: 11401 Bloomfield Ave, Norwalk, CA, 93067-0695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477829000
Provider Name
Jacob Alexander Dahneke I
Credential
Provider Entity Type
Individual
Gender
Male
Address
11401 Bloomfield Ave, Norwalk, CA, 93067-0695
Phone Number
530-559-3820
Fax Number
Provider Enumeration Date
03/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11401 Bloomfield Ave
City
Norwalk
State
California
Zip
90650-2015
Phone Number
530-559-3820
Fax Number
person
Provider Business Mailing Address Details
Address
11401 Bloomfield Ave
City
Norwalk
State
California
Zip
90650-2015
Phone Number
530-559-3820
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
28078 (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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