MARK ALLEN BOURASSA
NPI 1053295204
Counselor - Mental Health in Stockton, CA
About Mark Allen Bourassa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK ALLEN BOURASSA (NPI 1053295204) is an individual mental health provider in Stockton, California, licensed in California (15046) and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Bourassa's NPI number?
The NPI number for Mark Bourassa is 1053295204. It was assigned to this individual provider in the NPPES registry on August 1, 2025.
Where is Mark Bourassa located?
Mark Bourassa practices at 1305 Tommydon St, Stockton, CA 95210. The listed phone number is (855) 268-4096.
What is Mark Bourassa's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Mark Bourassa was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
