Individual
JESSICA PAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH TECH
Contact information
Practice address
9101 WHITTIER BLVD, PICO RIVERA, CA 90660-2405
(562) 801-4626
Mailing address
9101 WHITTIER BLVD, PICO RIVERA, CA 90660-2405
(562) 801-4626
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37286
CA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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