Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dana Jackson Bloch

Individual provider Mental Health Counselor · NPI 1669927604

Dana Jackson Bloch is a Mental Health Counselor in San Rafael, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

555 Northgate Dr Ste 100 Buckelew Programs
San Rafael, CA 94903-3696
Phone: (415) 491-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMF92159 (CA)

Record details

NPI number1669927604
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2016
Last updated in NPPESSeptember 8, 2016
Mailing address555 Northgate Dr Ste 100, Buckelew Programs, San Rafael, CA 94903-3696

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