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Dominique Renee Stephens
Licensed Psychiatric Technician in Nevada City, California
NPI 1841773702

Dominique Renee Stephens is a Licensed Psychiatric Technician based in Marysville, CA. Dominique Renee Stephens practices in Nevada City, CA. The NPI Number for Dominique Renee Stephens is 1841773702 and holds a License No. 42288 (California).

The current practice location address for Dominique Renee Stephens is 24077 Ca-49, Nevada City, CA and can be reached out via phone at 530-265-9057. You can also correspond with Dominique Renee Stephens through the mailing address at 201 D ST STE G, MARYSVILLE, CA - 95901-5957 (mailing address contact number: 530-742-7747).

Location: 24077 Ca-49, Nevada City, CA, 95901-5957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841773702
Provider Name
Dominique Renee Stephens
Credential
Provider Entity Type
Individual
Gender
Female
Address
24077 Ca-49, Nevada City, CA, 95901-5957
Phone Number
530-265-9057
Fax Number
Provider Enumeration Date
09/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24077 Ca-49
City
Nevada City
State
California
Zip
95959
Phone Number
530-265-9057
Fax Number
person
Provider Business Mailing Address Details
Address
24077 Ca-49
City
Nevada City
State
California
Zip
95959
Phone Number
530-265-9057
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
42288 (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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