MS. Michelle Denise Jackson, LPT is a licensed psychiatric technician in Banning, CA. The provider is 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. MS. Michelle Denise Jackson, LPT NPI is 1033460761. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1330 W RAMSEY ST STE 100
BANNING, CA
ZIP 92220-477
Phone: (951) 849-7142
Fax: (951) 849-1762
The enumeration date for this NPI number is 9/20/2012 and was last updated on 9/20/2012.