Healthcare Provider Details

I. General information

NPI: 1265970545
Provider Name (Legal Business Name): ADRIAN G. DUMAS MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2017
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1971 E BELTLINE AVE NE STE 106
GRAND RAPIDS MI
49525-7045
US

IV. Provider business mailing address

1971 E BELTLINE AVE NE STE 106
GRAND RAPIDS MI
49525-7045
US

V. Phone/Fax

Practice location:
  • Phone: 616-345-0394
  • Fax:
Mailing address:
  • Phone: 616-345-0394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401012309
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: