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Carol Petty, LVN
Licensed Psychiatric Technician in Eureka, California
NPI 1700147295

Carol Petty is a Licensed Psychiatric Technician based in Eureka, CA. Carol Petty practices in Eureka, CA and has the professional credentials of LVN. The NPI Number for Carol Petty is 1700147295 and holds a License No. VN217444 (California).

The current practice location address for Carol Petty is 720 Wood St, Eureka, CA and can be reached out via phone at 707-268-2990.

Location: 720 Wood St, Eureka, CA, 95501-4413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700147295
Provider Name
Carol Petty
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
720 Wood St, Eureka, CA, 95501-4413
Phone Number
707-268-2990
Fax Number
Provider Enumeration Date
05/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider Business Mailing Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
VN217444 (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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