Carlos Jacobo Adame
Licensed Psychiatric Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1154882769
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1154882769
- Entity type
- Individual (NPI-1)
- Name
- Carlos Jacobo Adame
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2019
- Certification date
- Dec 6, 2023
- Last updated
- Dec 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 40748 | CA | Yes |
Practice location
17270 Roosevelt StRiverside, CA 92508-9523
Phone 951-683-6596
Mailing address
5870 Arlington AveRiverside, CA 92504-2037
Phone 951-683-6596
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All 40 Licensed Psychiatric Technician providers in Riverside · All 16,640 providers in Riverside
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