Provider Demographics
NPI:1104241413
Name:DUMAIS, RENEE
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:DUMAIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 COLLEGE RD
Mailing Address - Street 2:APT 10
Mailing Address - City:GREENE
Mailing Address - State:ME
Mailing Address - Zip Code:04236-3357
Mailing Address - Country:US
Mailing Address - Phone:207-312-3125
Mailing Address - Fax:
Practice Address - Street 1:271 COLLEGE RD
Practice Address - Street 2:APT 10
Practice Address - City:GREENE
Practice Address - State:ME
Practice Address - Zip Code:04236-3357
Practice Address - Country:US
Practice Address - Phone:207-312-3125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)