Individual provider · Type 1 NPI

Laurel Rose Van Der Toorn

Mental Health Counselor · San Rafael, CA

NPI number 1962782797 Active

Practice location

910 Irwin St
San Rafael, CA 94901-3318

Call (415) 457-2487 Map

Mailing address

2355 Westwood Blvd #549
Los Angeles, CA 90064

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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About NPI 1962782797

Laurel Rose Van Der Toorn's National Provider Identifier is 1962782797, issued on Aug 24, 2011. 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 Oct 27, 2025.