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Willesha Monique Ford
Licensed Psychiatric Technician in San Leandro, California
NPI 1730823212

Willesha Monique Ford is a Licensed Psychiatric Technician based in San Leandro, CA. Willesha Monique Ford practices in San Leandro, CA. The NPI Number for Willesha Monique Ford is 1730823212 and holds a License No. 41175 (California).

The current practice location address for Willesha Monique Ford is 2050 Fairmont Dr, San Leandro, CA and can be reached out via phone at 510-483-3030.

Location: 2050 Fairmont Dr, San Leandro, CA, 94578-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730823212
Provider Name
Willesha Monique Ford
Credential
Provider Entity Type
Individual
Gender
Female
Address
2050 Fairmont Dr, San Leandro, CA, 94578-1001
Phone Number
510-483-3030
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2050 Fairmont Dr
City
San Leandro
State
California
Zip
94578-1001
Phone Number
510-483-3030
Fax Number
person
Provider Business Mailing Address Details
Address
2050 Fairmont Dr
City
San Leandro
State
California
Zip
94578-1001
Phone Number
510-483-3030
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
41175 (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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