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Mr. Godwin Kebila Kaba, PT
Licensed Psychiatric Technician in San Jose, California
NPI 1629512421

Godwin Kebila Kaba is a Licensed Psychiatric Technician based in San Jose, CA. Godwin Kebila Kaba practices in San Jose, CA and has the professional credentials of PT. The NPI Number for Godwin Kebila Kaba is 1629512421 and holds a License No. PT37777 (California).

The current practice location address for Godwin Kebila Kaba is 344 Los Pinos Way, San Jose, CA and can be reached out via phone at 408-759-1924.

Location: 344 Los Pinos Way, San Jose, CA, 95123-5117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629512421
Provider Name
Godwin Kebila Kaba
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
344 Los Pinos Way, San Jose, CA, 95123-5117
Phone Number
408-759-1924
Fax Number
Provider Enumeration Date
12/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
344 Los Pinos Way
City
San Jose
State
California
Zip
95123-5117
Phone Number
408-759-1924
Fax Number
person
Provider Business Mailing Address Details
Address
344 Los Pinos Way
City
San Jose
State
California
Zip
95123-5117
Phone Number
408-759-1924
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT37777 (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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