Mark Allen Bourassa
Mark Allen Bourassa is a Professional Counselor in Stockton, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
1305 Tommydon StStockton, CA 95210-3364
Phone: (855) 268-4096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 22719 (CA) |
|---|
Record details
| NPI number | 1053295204 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 1, 2025 |
| Last updated in NPPES | August 4, 2026 |
| Certification date | August 4, 2026 |
| Mailing address | 1620 G St Apt 17, Sacramento, CA 95814-1632 |
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