Individual provider · Type 1 NPI
Jason La Bou
Mental Health Counselor · San Rafael, CA
NPI number
1285743096
Active
Practice location
Marin Housing, 4020 Civic Center Drive
San Rafael, CA 94903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1285743096
Jason La Bou's National Provider Identifier is 1285743096, issued on Aug 29, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.