Provider Demographics
NPI:1124291216
Name:DUMLAO, MARY SAINT (MED, LPC-S)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:SAINT
Last Name:DUMLAO
Suffix:
Gender:F
Credentials:MED, LPC-S
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:SAINT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, LPC-S
Mailing Address - Street 1:30903 VICKIE LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-5712
Mailing Address - Country:US
Mailing Address - Phone:281-250-1141
Mailing Address - Fax:
Practice Address - Street 1:17510 HUFFMEISTER RD., SUITE 104
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7831
Practice Address - Country:US
Practice Address - Phone:281-250-1141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18429101YP2500X
TX101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool