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Agatha N Ihenacho, LPT
Licensed Psychiatric Technician in San Jose, California
NPI 1871622761

Agatha N Ihenacho is a Licensed Psychiatric Technician based in Gilroy, CA. Agatha N Ihenacho practices in San Jose, CA and has the professional credentials of LPT. The NPI Number for Agatha N Ihenacho is 1871622761 and holds a License No. PT31594 (California).

The current practice location address for Agatha N Ihenacho is 455 Silicon Valley Blvd, San Jose, CA and can be reached out via phone at 408-284-9000. You can also correspond with Agatha N Ihenacho through the mailing address at 6381 BLACKBERRY CT, GILROY, CA - 95020-3424 (mailing address contact number: 408-848-9802).

Location: 455 Silicon Valley Blvd, San Jose, CA, 95020-3424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871622761
Provider Name
Agatha N Ihenacho
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
455 Silicon Valley Blvd, San Jose, CA, 95020-3424
Phone Number
408-284-9000
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
455 Silicon Valley Blvd
City
San Jose
State
California
Zip
95138
Phone Number
408-284-9000
Fax Number
person
Provider Business Mailing Address Details
Address
6381 Blackberry Ct
City
Gilroy
State
California
Zip
95020-3424
Phone Number
408-848-9802
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT31594 (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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