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Janice L Gordon
Licensed Psychiatric Technician in Roseville, California
NPI 1770132136

Janice L Gordon is a Licensed Psychiatric Technician based in Penn Valley, CA. Janice L Gordon practices in Roseville, CA. The NPI Number for Janice L Gordon is 1770132136 and holds a License No. 33828 (California).

The current practice location address for Janice L Gordon is 1133 Coloma Way, Roseville, CA and can be reached out via phone at 916-774-6647. You can also correspond with Janice L Gordon through the mailing address at 14264 NOJACK CT, PENN VALLEY, CA - 95946-9731 (mailing address contact number: 530-615-9995).

Location: 1133 Coloma Way, Roseville, CA, 95946-9731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770132136
Provider Name
Janice L Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1133 Coloma Way, Roseville, CA, 95946-9731
Phone Number
916-774-6647
Fax Number
Provider Enumeration Date
09/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1133 Coloma Way
City
Roseville
State
California
Zip
95661-4480
Phone Number
916-774-6647
Fax Number
person
Provider Business Mailing Address Details
Address
1133 Coloma Way
City
Roseville
State
California
Zip
95661-4480
Phone Number
916-774-6647
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
33828 (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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