DANA JACKSON BLOCH

SAN RAFAEL, CA
NPI1669927604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: CA  IMF92159)
Enumeration Date2016-08-19
Last Update Date2016-09-08
Business Address
DANA JACKSON BLOCH
555 NORTHGATE DR STE 100 BUCKELEW PROGRAMS
SAN RAFAEL, CA 94903-3696
Phone number: 415-491-5700
Mailing Address
DANA JACKSON BLOCH
555 NORTHGATE DR STE 100 BUCKELEW PROGRAMS
SAN RAFAEL, CA 94903-3696
Phone number:
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