MEDICARE: MS. CARLA ELOISE 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	101YP2500X	Professional Counselor	180-005817	IL
2	101YP2500X	Professional Counselor	180.005817	IL

General Provider Information

NPI Number	:	1932382306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARLA ELOISE DUMAS

Provider Business Mailing Address
First Line	:	1510 CHANDLER ST
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-2332
Country	:	US
Telephone Number	:	217-443-0612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 CHANDLER ST
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-2332
Country	:	US
Telephone Number	:	217-443-0612
Fax Number	:

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

Provider Enumeration Date	:	12/08/2007
Last Update Date	:	03/26/2025

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Directions to “ MS. CARLA ELOISE DUMAS ” Practice Location

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