Provider Demographics
NPI:1316310014
Name:DUMAS, TRICHELL MARIE (LPC, NCC)
Entity type:Individual
Prefix:
First Name:TRICHELL
Middle Name:MARIE
Last Name:DUMAS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 VETERANS BLVD.
Mailing Address - Street 2:105
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-4022
Mailing Address - Country:US
Mailing Address - Phone:504-305-4704
Mailing Address - Fax:504-305-4709
Practice Address - Street 1:2200 VETERANS BLVD.
Practice Address - Street 2:105
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-4022
Practice Address - Country:US
Practice Address - Phone:504-305-4704
Practice Address - Fax:504-305-4709
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4950101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional