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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. You can also correspond with Kenneth Jason Holmes through the mailing address at 734 10TH AVE, SAN DIEGO, CA - 92101-6502 (mailing address contact number: 619-239-4663).

Location: 734 10Th Ave, San Diego, CA, 92101-6502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
734 10Th Ave
City
San Diego
State
California
Zip
92101-6502
Phone Number
619-239-4663
Fax Number
person
Provider Business Mailing Address Details
Address
734 10Th Ave
City
San Diego
State
California
Zip
92101-6502
Phone Number
619-239-4663
Fax Number
person
Provider's Taxonomy Details 1
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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