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Mr. Charles R Cosper JR., NCPT3
Licensed Psychiatric Technician in San Francisco, California
NPI 1720230170

Charles R Cosper JR. is a Licensed Psychiatric Technician based in Petaluma, CA. Charles R Cosper JR. practices in San Francisco, CA and has the professional credentials of NCPT3. The NPI Number for Charles R Cosper JR. is 1720230170 and holds a License No. PT26317 (California).

The current practice location address for Charles R Cosper JR. is 815 Buena Vista Ave W, San Francisco, CA and can be reached out via phone at 415-762-3700 and via fax at 415-865-0119. You can also correspond with Charles R Cosper JR. through the mailing address at 27 SAPPORO CT, PETALUMA, CA - 94954-5886 (mailing address contact number: 707-479-6979).

Location: 815 Buena Vista Ave W, San Francisco, CA, 94954-5886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720230170
Provider Name
Charles R Cosper JR.
Credential
NCPT3
Provider Entity Type
Individual
Gender
Male
Address
815 Buena Vista Ave W, San Francisco, CA, 94954-5886
Phone Number
415-762-3700
Fax Number
415-865-0119
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
815 Buena Vista Ave W
City
San Francisco
State
California
Zip
94117-4108
Phone Number
415-762-3700
Fax Number
415-865-0119
person
Provider Business Mailing Address Details
Address
815 Buena Vista Ave W
City
San Francisco
State
California
Zip
94117-4108
Phone Number
415-762-3700
Fax Number
415-865-0119
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT26317 (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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