Provider Demographics
NPI:1710254800
Name:DUMESNIL,, JAMES H JR (MS, LPCC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:H
Last Name:DUMESNIL,
Suffix:JR
Gender:M
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1274
Mailing Address - Street 2:
Mailing Address - City:EL PRADO
Mailing Address - State:NM
Mailing Address - Zip Code:87529-1274
Mailing Address - Country:US
Mailing Address - Phone:575-613-2222
Mailing Address - Fax:575-751-9529
Practice Address - Street 1:208 RANCHITOS RD
Practice Address - Street 2:SUITE B
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6894
Practice Address - Country:US
Practice Address - Phone:575-613-2222
Practice Address - Fax:575-751-9529
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0114151101YP2500X
CO671101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional