Kenneth Jason Holmes - San Diego, CA

Kenneth Jason Holmes

Licensed Psychiatric Technician in San Diego, California

NPI 1598032229

Kenneth Jason Holmes is a Licensed Psychiatric Technician based in San Diego, CA. Kenneth Jason Holmes practices in San Diego, CA. The NPI Number for Kenneth Jason Holmes is 1598032229 and holds a License No. PT36002 (California).

The current practice location address for Kenneth Jason Holmes is 734 10Th Ave, San Diego, CA and can be reached out via phone at 619-239-4663.

Location: 734 10Th Ave, San Diego, CA, 92101-6502

NPI Number

1598032229

Provider Name

Kenneth Jason Holmes

Credential

Provider Entity Type

Individual

Gender

Male

Address

734 10Th Ave, San Diego, CA, 92101-6502

Phone Number

619-239-4663

Fax Number

Provider Enumeration Date

11/23/2011

Last Update Date

03/09/2024

Address

734 10Th Ave

City

San Diego

State

California

Zip

92101-6502

Phone Number

619-239-4663

Fax Number

Address

734 10Th Ave

City

San Diego

State

California

Zip

92101-6502

Phone Number

619-239-4663

Fax Number

Type

Nursing Service Providers

Classification

Licensed Psychiatric Technician

Speciality

Taxonomy

167G00000X

License No.

PT36002 (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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