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Marisol Granados Villagran
Licensed Psychiatric Technician in Stockton, California
NPI 1053038711

Marisol Granados Villagran is a Licensed Psychiatric Technician based in Stockton, CA. Marisol Granados Villagran practices in Stockton, CA. The NPI Number for Marisol Granados Villagran is 1053038711 and holds a License No. (California).

The current practice location address for Marisol Granados Villagran is 4545 Georgetown Pl Ste D, Stockton, CA and can be reached out via phone at 209-269-5587.

Location: 4545 Georgetown Pl Ste D, Stockton, CA, 95207-6229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053038711
Provider Name
Marisol Granados Villagran
Credential
Provider Entity Type
Individual
Gender
Female
Address
4545 Georgetown Pl Ste D, Stockton, CA, 95207-6229
Phone Number
209-269-5587
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4545 Georgetown Pl Ste D
City
Stockton
State
California
Zip
95207-6229
Phone Number
209-269-5587
Fax Number
person
Provider Business Mailing Address Details
Address
4545 Georgetown Pl Ste D
City
Stockton
State
California
Zip
95207-6229
Phone Number
209-269-5587
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
()
Definition
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.
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