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Jacob Skillern
Licensed Psychiatric Technician in Ceres, California
NPI 1861119687

Jacob Skillern is a Licensed Psychiatric Technician based in Stockton, CA. Jacob Skillern practices in Ceres, CA. The NPI Number for Jacob Skillern is 1861119687 and holds a License No. 40357 (California).

The current practice location address for Jacob Skillern is 1904 Richland Ave, Ceres, CA and can be reached out via phone at 209-300-8800.

Location: 1904 Richland Ave, Ceres, CA, 95206-6412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861119687
Provider Name
Jacob Skillern
Credential
Provider Entity Type
Individual
Gender
Male
Address
1904 Richland Ave, Ceres, CA, 95206-6412
Phone Number
209-300-8800
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1904 Richland Ave
City
Ceres
State
California
Zip
95307-4562
Phone Number
209-300-8800
Fax Number
person
Provider Business Mailing Address Details
Address
1904 Richland Ave
City
Ceres
State
California
Zip
95307-4562
Phone Number
209-300-8800
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
40357 (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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