IndividualActive
Jason La Bou
NPI 1285743096 · Mental Health Counselor · San Rafael, CA
Provider details
- NPI number
- 1285743096
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
Marin Housing
4020 Civic Center Drive
San Rafael, CA 94903
Phone: (415) 491-2584
Approximate (ZIP-level) locationGet directions
Mailing address
Marin Housing
San Rafael, CA 94903
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.