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Celeste Rose Martinez
Licensed Psychiatric Technician in Lodi, California
NPI 1902305972

Celeste Rose Martinez is a Licensed Psychiatric Technician based in Stockton, CA. Celeste Rose Martinez practices in Lodi, CA. The NPI Number for Celeste Rose Martinez is 1902305972 and holds a License No. PT40655 (California).

The current practice location address for Celeste Rose Martinez is 1209 W Tokay St, Lodi, CA and can be reached out via phone at 209-331-2070.

Location: 1209 W Tokay St, Lodi, CA, 95202-1552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902305972
Provider Name
Celeste Rose Martinez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1209 W Tokay St, Lodi, CA, 95202-1552
Phone Number
209-331-2070
Fax Number
Provider Enumeration Date
02/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1209 W Tokay St
City
Lodi
State
California
Zip
95240-3845
Phone Number
209-331-2070
Fax Number
person
Provider Business Mailing Address Details
Address
1209 W Tokay St
City
Lodi
State
California
Zip
95240-3845
Phone Number
209-331-2070
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT40655 (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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