Organization
PSYCHSIS LTD LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANEISA TADONGDOUONNANG LPT (OWNER/MANAGER)
(559) 404-9387
Entity
Organization
Contact information
Practice address
351 WARTHAN ST APT 120, COALINGA, CA 93210-2654
(559) 404-9387
Mailing address
351 WARTHAN ST APT 120, COALINGA, CA 93210-2654
(559) 404-9387
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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