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Ms. Millie B Wilson
Licensed Psychiatric Technician in Vallejo, California
NPI 1306056668

Millie B Wilson is a Licensed Psychiatric Technician based in Vallejo, CA. Millie B Wilson practices in Vallejo, CA. The NPI Number for Millie B Wilson is 1306056668 and holds a License No. PT 21765 (California).

The current practice location address for Millie B Wilson is 1113 Porter St Apt C, Vallejo, CA and can be reached out via phone at 505-977-1316.

Location: 1113 Porter St Apt C, Vallejo, CA, 94590-7910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306056668
Provider Name
Millie B Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1113 Porter St Apt C, Vallejo, CA, 94590-7910
Phone Number
505-977-1316
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1113 Porter St Apt C
City
Vallejo
State
California
Zip
94590-7910
Phone Number
505-977-1316
Fax Number
person
Provider Business Mailing Address Details
Address
1113 Porter St Apt C
City
Vallejo
State
California
Zip
94590-7910
Phone Number
505-977-1316
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 21765 (California)
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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