Provider Demographics
NPI:1912457896
Name:DUMAS, CAMERON (LMSW)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:DUMAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 S COUNTRY SQUIRE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-7406
Mailing Address - Country:US
Mailing Address - Phone:832-477-7148
Mailing Address - Fax:
Practice Address - Street 1:2014 COMMONWEALTH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-1804
Practice Address - Country:US
Practice Address - Phone:832-301-9160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55129104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker