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Jeremiah Gacusan
Licensed Psychiatric Technician in Campbell, California
NPI 1679987036

Jeremiah Gacusan is a Licensed Psychiatric Technician based in San Jose, CA. Jeremiah Gacusan practices in Campbell, CA. The NPI Number for Jeremiah Gacusan is 1679987036 and holds a License No. 29197 (California).

The current practice location address for Jeremiah Gacusan is 251 Llewellyn Ave, Campbell, CA and can be reached out via phone at 916-388-6372 and via fax at 916-779-2558.

Location: 251 Llewellyn Ave, Campbell, CA, 95132-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679987036
Provider Name
Jeremiah Gacusan
Credential
Provider Entity Type
Individual
Gender
Female
Address
251 Llewellyn Ave, Campbell, CA, 95132-2527
Phone Number
916-388-6372
Fax Number
916-779-2558
Provider Enumeration Date
06/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
251 Llewellyn Ave
City
Campbell
State
California
Zip
95008-1940
Phone Number
916-388-6372
Fax Number
916-779-2558
person
Provider Business Mailing Address Details
Address
251 Llewellyn Ave
City
Campbell
State
California
Zip
95008-1940
Phone Number
916-388-6372
Fax Number
916-779-2558
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
29197 (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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