Provider Demographics
NPI:1073116091
Name:CHRISTINE DUMA COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:CHRISTINE DUMA COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:COOPER
Authorized Official - Last Name:DUMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:540-818-5655
Mailing Address - Street 1:1500 TRILLIUM LN N
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-9095
Mailing Address - Country:US
Mailing Address - Phone:540-818-5655
Mailing Address - Fax:
Practice Address - Street 1:922 UNIVERSITY CITY BLVD STE 204
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-2753
Practice Address - Country:US
Practice Address - Phone:540-818-5655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty