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Mark Defren, LPT/CA
Licensed Psychiatric Technician in Clearlake, California
NPI 1972050102

Mark Defren is a Licensed Psychiatric Technician based in Clearlake, CA. Mark Defren practices in Clearlake, CA and has the professional credentials of LPT/CA. The NPI Number for Mark Defren is 1972050102 and holds a License No. PT 21349 (California).

The current practice location address for Mark Defren is 7000B S Center Dr, Clearlake, CA and can be reached out via phone at 707-994-7090.

Location: 7000B S Center Dr, Clearlake, CA, 95422-8131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972050102
Provider Name
Mark Defren
Credential
LPT/CA
Provider Entity Type
Individual
Gender
Male
Address
7000B S Center Dr, Clearlake, CA, 95422-8131
Phone Number
707-994-7090
Fax Number
Provider Enumeration Date
09/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7000B S Center Dr
City
Clearlake
State
California
Zip
95422-8131
Phone Number
707-994-7090
Fax Number
person
Provider Business Mailing Address Details
Address
7000B S Center Dr
City
Clearlake
State
California
Zip
95422-8131
Phone Number
707-994-7090
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 21349 (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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