Provider Demographics
NPI:1841557014
Name:DUMOND, MARIANNE R (EDD, LPC-S, CCTP)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:R
Last Name:DUMOND
Suffix:
Gender:F
Credentials:EDD, LPC-S, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 TEXAS ST STE 105
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-4574
Mailing Address - Country:US
Mailing Address - Phone:826-990-6242
Mailing Address - Fax:
Practice Address - Street 1:511 AUGUSTINE DR
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-7810
Practice Address - Country:US
Practice Address - Phone:817-503-3343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist