DANA JACKSON BLOCH NPI 1669927604

NPI Information

  • NPI: 1669927604
  • Provider Name: DANA JACKSON BLOCH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 555 NORTHGATE DR STE 100
    BUCKELEW PROGRAMS
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 491-5700

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NPI Details

Dana Jackson Bloch is a mental health counselor in San Rafael, CA. Dana Jackson Bloch NPI is 1669927604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

555 NORTHGATE DR STE 100
BUCKELEW PROGRAMS
SAN RAFAEL, CA
ZIP 94903-696
Phone: (415) 491-5700

The enumeration date for this NPI number is 8/19/2016 and was last updated on 9/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthIMF92159CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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