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Evelyn Jackson
Licensed Psychiatric Technician in Redwood City, California
NPI 1609535756

Evelyn Jackson is a Licensed Psychiatric Technician based in Redwood City, CA. Evelyn Jackson practices in Redwood City, CA. The NPI Number for Evelyn Jackson is 1609535756 and holds a License No. (California).

The current practice location address for Evelyn Jackson is 200 Edmonds Rd, Redwood City, CA and can be reached out via phone at 650-367-1890.

Location: 200 Edmonds Rd, Redwood City, CA, 94062-3813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609535756
Provider Name
Evelyn Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Edmonds Rd, Redwood City, CA, 94062-3813
Phone Number
650-367-1890
Fax Number
Provider Enumeration Date
12/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29981 01 CA CORDILLERAS MHRC
institution
Provider Business Practice Location Address Details
Address
200 Edmonds Rd
City
Redwood City
State
California
Zip
94062-3813
Phone Number
650-367-1890
Fax Number
person
Provider Business Mailing Address Details
Address
200 Edmonds Rd
City
Redwood City
State
California
Zip
94062-3813
Phone Number
650-367-1890
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
()
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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