Provider Demographics
NPI:1710458435
Name:DUMAS, ALESIA N (LPC, NCC, CCTP)
Entity Type:Individual
Prefix:
First Name:ALESIA
Middle Name:N
Last Name:DUMAS
Suffix:
Gender:F
Credentials:LPC, NCC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 DEER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MORRISDALE
Mailing Address - State:PA
Mailing Address - Zip Code:16858-8400
Mailing Address - Country:US
Mailing Address - Phone:814-404-9176
Mailing Address - Fax:
Practice Address - Street 1:119 N FRONT ST # 2
Practice Address - Street 2:
Practice Address - City:PHILIPSBURG
Practice Address - State:PA
Practice Address - Zip Code:16866-1603
Practice Address - Country:US
Practice Address - Phone:814-404-9176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
730721OtherNATIONAL BOARD OF CERTIFIED COUNSELORS, INC