Alyssa Gonzalez Chavez
Licensed Psychiatric Technician in Fairfield, CA. Individual provider (NPI-1).
NPI number1760158083
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1760158083
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Gonzalez Chavez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2021
- Certification date
- May 7, 2025
- Last updated
- May 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 42969 | CA | Yes |
Practice location
2101 Courage DrFairfield, CA 94533-6717
Phone 707-428-1131
Mailing address
1720 S Amphlett Blvd Ste 110San Mateo, CA 94402-2710
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