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Michell L Chisham
Licensed Psychiatric Technician in Santa Rosa, California
NPI 1760543011

Michell L Chisham is a Licensed Psychiatric Technician based in Santa Rosa, CA. Michell L Chisham practices in Santa Rosa, CA. The NPI Number for Michell L Chisham is 1760543011 and holds a License No. 21604 (California).

The current practice location address for Michell L Chisham is 3322 Chanate Rd, Santa Rosa, CA and can be reached out via phone at 707-565-5007.

Location: 3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760543011
Provider Name
Michell L Chisham
Credential
Provider Entity Type
Individual
Gender
Female
Address
3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Phone Number
707-565-5007
Fax Number
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1707
Phone Number
707-565-5007
Fax Number
person
Provider Business Mailing Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1707
Phone Number
707-565-5007
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
21604 (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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