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Search › California › Licensed Psychiatric Technician

Jeremiah Gacusan

NPI 1679987036 · on the registry since 2014 · sole proprietor

Practice

Address
251 Llewellyn Ave
Campbell, CA 95008
Phone
(916) 388-6372
Fax
(916) 779-2558
Organisation at this address
Emq
Pacific Clinics
Pacific Clinics
Pacific Clinics
Pacific Clinics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
559

Registry record

Primary taxonomy
Licensed Psychiatric Technician
167G00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California