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

Jonathan Michael Dubos

Individual provider Counselor · NPI 1174930085

Jonathan Michael Dubos is a Counselor in San Rafael, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
4

Practice location Address checks out

111 Smith Ranch Rd
San Rafael, CA 94903-1939
Phone: (415) 491-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PSY33913 (CA)
Counselor Taxonomy 101Y00000X
Community Health Worker Taxonomy 172V00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174930085
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2014
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023
Mailing address524 Reliant Way, American Canyon, CA 94503-3239

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