Kelley Lynn Whitecotton Valid NPI

Individual provider · Licensed Psychiatric Technician · Grass Valley, CA

NPI

1689021453

Type

Individual (Type 1)

Primary specialty

Licensed Psychiatric Technician

Specialty group

Nursing Service Providers

Taxonomy code

167G00000X

License number

PT40257 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2016-05-20

Last updated

2017-01-31