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Jennifer N Kuiken, LPT

Licensed Psychiatric Technician in San Luis Obispo, CA. Individual provider (NPI-1).

NPI number1003452285
StatusActive
Last updated in NPPESJun 29, 2020

Details

NPI
1003452285
Entity type
Individual (NPI-1)
Name
Jennifer N Kuiken
Credential
LPT
Sex
Female
Sole proprietor
No
Enumeration date
Nov 21, 2019
Certification date
Jun 29, 2020
Last updated
Jun 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric TechnicianPT38160CAYes

Practice location

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Phone 805-781-4712

Mailing address

2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771

Phone 805-439-4890

Other practice locations

2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771

Phone 805-439-4890

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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