MEDICARE: JENNIFER MARIE DUMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1912208182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MARIE DUMAS

Provider Business Mailing Address
First Line	:	1400 PARKMOOR AVE
Second Line	:	SUITE 115
City	:	SAN JOSE
State	:	CA
Zip	:	95126-3797
Country	:	US
Telephone Number	:	408-971-9822
Fax Number	:	408-971-9820

Provider Business Practice Location Address
First Line	:	1400 PARKMOOR AVE
Second Line	:	SUITE 115
City	:	SAN JOSE
State	:	CA
Zip	:	95126-3797
Country	:	US
Telephone Number	:	408-971-9822
Fax Number	:	408-971-9820

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	05/31/2016

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Directions to “ JENNIFER MARIE DUMAS ” Practice Location

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