Jason Daniel Camacho, MS, PPS
Psychologist, School in San Rafael, CA. Individual provider (NPI-1).
NPI number1851207211
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1851207211
- Entity type
- Individual (NPI-1)
- Name
- Jason Daniel Camacho
- Credential
- MS, PPS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2026
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | – | Yes |
Practice location
177 N San Pedro RdSan Rafael, CA 94903-4200
Phone 415-492-3150
Mailing address
2775 11th StSan Pablo, CA 94806-2267
Phone 562-396-7802
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All 11 School Psychologist providers in San Rafael · All 3,698 providers in San Rafael
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