Individual provider · Type 1 NPI

Dana Jackson Bloch

Mental Health Counselor · San Rafael, CA

NPI number 1669927604 Active

Practice location

555 Northgate Dr Ste 100, Buckelew Programs
San Rafael, CA 94903-3696

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMF92159 (CA)

Mental Health Counselor: Definition to come...

18 other providers at this address

Other mental health counselor providers in San Rafael

See all in San Rafael →

About NPI 1669927604

Dana Jackson Bloch's National Provider Identifier is 1669927604, issued on Aug 19, 2016. 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 Sep 8, 2016.