Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisol Granados Villagran

Individual provider Licensed Psychiatric Technician · NPI 1053038711

Marisol Granados Villagran is a Licensed Psychiatric Technician in Stockton, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4545 Georgetown Pl Ste D
Stockton, CA 95207-6229
Phone: (209) 269-5587
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X

Record details

NPI number1053038711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

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