Jennifer Lisa Madrid
Jennifer Lisa Madrid is a Licensed Psychiatric Technician in Petaluma, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
2032 Appaloosa DrPetaluma, CA 94954-4639
Phone: (707) 322-2018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 109962 (CA) |
|---|---|
| Licensed Psychiatric Technician | Taxonomy 167G00000X · Licence PT34767 (CA) |
Record details
| NPI number | 1578912481 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 10, 2016 |
| Last updated in NPPES | December 19, 2022 |
| Certification date | December 19, 2022 |