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

Mark Defren, LPT/CA

Individual provider Licensed Psychiatric Technician · NPI 1972050102

Mark Defren, LPT/CA is a Licensed Psychiatric Technician in Clearlake, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

7000B S Center Dr
Clearlake, CA 95422-8131
Phone: (707) 994-7090
Show map & directions

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

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence PT 21349 (CA)

Record details

NPI number1972050102
Entity typeIndividual (Type 1)
GenderMale
Credentials LPT/CA
Sole proprietorNo
NPI enumeratedSeptember 6, 2016
Last updated in NPPESSeptember 6, 2016
Mailing address7000b S Center Dr, Clearlake, CA 95422-8131

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