Provider Demographics
NPI:1932197472
Name:DUMONT, LAURA JEAN (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:JEAN
Last Name:DUMONT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 N EL DORADO PL
Mailing Address - Street 2:SUITE 310
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4600
Mailing Address - Country:US
Mailing Address - Phone:520-820-0864
Mailing Address - Fax:
Practice Address - Street 1:1181 N EL DORADO PL
Practice Address - Street 2:SUITE 310
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4600
Practice Address - Country:US
Practice Address - Phone:520-820-0864
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC 2331101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional