J'Lene Kurtz, LPT

Individual provider Active NPI Licensed Psychiatric Technician · Yuba City, CA

NPI 1104941202 · NPPES record last updated Feb 27, 2017

Key facts

NPI
1104941202
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Psychiatric Technician 167G00000X
License
PT30460 (CA)
Practice address
1965 Live Oak Blvd
Yuba City, CA 95991-8828
Phone
(530) 822-7200
Fax
(530) 674-7856
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT30460CAMDLicensed Psychiatric Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X PT30460 CA Yes

Addresses

Primary practice location

1965 Live Oak Blvd
Yuba City, CA 95991-8828

Mailing address

1965 Live Oak Blvd
Yuba City, CA 95991-8828
Phone (530) 822-7200

Other providers in Yuba City, CA

All providers in Yuba City, CA · Licensed Psychiatric Technician in California

Sources for this page

Verify at the official NPI Registry.