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Mr. Justin William Fredericksen, LPN
Licensed Psychiatric Technician in Eureka, California
NPI 1982082400

Justin William Fredericksen is a Licensed Psychiatric Technician based in Eureka, CA. Justin William Fredericksen practices in Eureka, CA and has the professional credentials of LPN. The NPI Number for Justin William Fredericksen is 1982082400 and holds a License No. LPN15722 (California).

The current practice location address for Justin William Fredericksen is 720 Wood St, Eureka, CA and can be reached out via phone at 707-268-2994.

Location: 720 Wood St, Eureka, CA, 95501-4413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982082400
Provider Name
Justin William Fredericksen
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
720 Wood St, Eureka, CA, 95501-4413
Phone Number
707-268-2994
Fax Number
Provider Enumeration Date
05/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2994
Fax Number
person
Provider Business Mailing Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2994
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
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Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
LPN15722 (Nevada)
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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