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Brooke J Jordan, PT
Licensed Psychiatric Technician in San Luis Obispo, California
NPI 1689917510

Brooke J Jordan is a Licensed Psychiatric Technician based in San Luis Obispo, CA. Brooke J Jordan practices in San Luis Obispo, CA and has the professional credentials of PT. The NPI Number for Brooke J Jordan is 1689917510 and holds a License No. 36330 (California).

The current practice location address for Brooke J Jordan is 2178 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-4700.

Location: 2178 Johnson Ave, San Luis Obispo, CA, 93401-4535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689917510
Provider Name
Brooke J Jordan
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
2178 Johnson Ave, San Luis Obispo, CA, 93401-4535
Phone Number
805-781-4700
Fax Number
Provider Enumeration Date
03/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2178 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4535
Phone Number
805-781-4700
Fax Number
person
Provider Business Mailing Address Details
Address
2178 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4535
Phone Number
805-781-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
36330 (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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