MARK ALLEN BOURASSA

STOCKTON, CA
NPI1053295204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  15046)
Enumeration Date2025-08-01
Last Update Date2025-08-01
Business Address
MARK ALLEN BOURASSA
1305 TOMMYDON ST
STOCKTON, CA 95210-3364
Phone number: 855-268-4096
Mailing Address
MARK ALLEN BOURASSA
1620 G ST APT 17
SACRAMENTO, CA 95814-1632
Phone number: 916-857-4451
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