Mark Defren, LPT/CA
NPI #1972050102 in Clearlake, California
Provider Information
- NPI Number
- 1972050102
- Entity Type
- Individual
- Name
- Mark Defren, LPT/CA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- LPT/CA
- Enumeration Date
- Sep 6, 2016
- Last Updated
- Sep 6, 2016
Practice Location
- Address
- 7000B S CENTER DR
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-8131
- Phone
- (707) 994-7090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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