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Licensing details for: 25461

Name: ETTENSOHN, MARK D

License Type: Psychologist

Primary Status: License Renewed & Current Primary Status Definition

School Name: WRIGHT INSTITUTE, BERKELEY

Graduation Year: 2011

Professional URL: www.healnpd.org

Address of Record

3450 Palmer Dr Ste 4-296
CAMERON PARK CA 95682-8253
EL DORADO county
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Issuance Date

January 2, 2013

Expiration Date

December 31, 2026

Current Date / Time

January 1, 2026
4:25:52 AM

License Relationships

Registered Psychological Associate supervised by Licensed Psychologist

License/Registration Role: Licensed Psychologist

Related Party Role: Registered Psychological Associate

Name: SPENCER, DANTE M

License/Registration Type: Registered Psychological Associate

License Number: 94028960 Primary Status: Registration Renewed & Current

Address :
3450 Palmer Dr Ste 4-296
CAMERON PARK CA 95682-8253
EL DORADO COUNTY

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Registered Psychological Associate supervised by Licensed Psychologist

License/Registration Role: Licensed Psychologist

Related Party Role: Registered Psychological Associate

Name: YOUNG, DEANNA

License/Registration Type: Registered Psychological Associate

License Number: 94028089 Primary Status: Registration Renewed & Current

Address :
3450 Palmer Dr Ste 4-296
CAMERON PARK CA 95682-8253
EL DORADO COUNTY

Map

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