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Jesse Russell
Licensed Psychiatric Technician in Orange, California
NPI 1568197655

Jesse Russell is a Licensed Psychiatric Technician based in Orange, CA. Jesse Russell practices in Orange, CA. The NPI Number for Jesse Russell is 1568197655 and holds a License No. PT24890 (California).

The current practice location address for Jesse Russell is 401 S Tustin St Bldg D, Orange, CA and can be reached out via phone at 714-289-3936.

Location: 401 S Tustin St Bldg D, Orange, CA, 92866-2550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568197655
Provider Name
Jesse Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
401 S Tustin St Bldg D, Orange, CA, 92866-2550
Phone Number
714-289-3936
Fax Number
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 S Tustin St Bldg D
City
Orange
State
California
Zip
92866-2550
Phone Number
714-289-3936
Fax Number
person
Provider Business Mailing Address Details
Address
401 S Tustin St Bldg D
City
Orange
State
California
Zip
92866-2550
Phone Number
714-289-3936
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT24890 (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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