Individual provider · Type 1 NPI

Dallas J. Mark

Counselor · San Rafael, CA

NPI number 1689955569 Active

Practice location

1466 Lincoln Ave
San Rafael, CA 94901-2021

Fax (415) 457-0849

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1689955569

Dallas J. Mark's National Provider Identifier is 1689955569, issued on Sep 6, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Rafael, CA. The record was last updated on Sep 6, 2011.