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Dana Jackson Bloch
Mental Health Counselor in San Rafael, California
NPI 1669927604

Dana Jackson Bloch is a Mental Health Counselor based in San Rafael, CA and is specialized in Mental Health. Dana Jackson Bloch practices in San Rafael, CA. The NPI Number for Dana Jackson Bloch is 1669927604 and holds a License No. IMF92159 (California).

The current practice location address for Dana Jackson Bloch is 555 Northgate Dr Ste 100, San Rafael, CA and can be reached out via phone at 415-491-5700.

Location: 555 Northgate Dr Ste 100, San Rafael, CA, 94903-3696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669927604
Provider Name
Dana Jackson Bloch
Credential
Provider Entity Type
Individual
Gender
Female
Address
555 Northgate Dr Ste 100, San Rafael, CA, 94903-3696
Phone Number
415-491-5700
Fax Number
Provider Enumeration Date
08/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
555 Northgate Dr Ste 100
City
San Rafael
State
California
Zip
94903-3696
Phone Number
415-491-5700
Fax Number
person
Provider Business Mailing Address Details
Address
555 Northgate Dr Ste 100
City
San Rafael
State
California
Zip
94903-3696
Phone Number
415-491-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMF92159 (California)
Definition
Definition to come...
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