Vincent Colcol Abena
Licensed Psychiatric Technician in Fairfield, CA. Individual provider (NPI-1).
NPI number1255197778
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1255197778
- Entity type
- Individual (NPI-1)
- Name
- Vincent Colcol Abena
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2024
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 42270 | CA | Yes |
Practice location
2101 Courage DrFairfield, CA 94533-6717
Phone 707-428-1131
Mailing address
2101 Courage DrFairfield, CA 94533-6717
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