Healthcare Provider Details

I. General information

NPI: 1992734321
Provider Name (Legal Business Name): MICHAEL JOSEPH DUMONT MA, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 S PINE ST STE 301
TACOMA WA
98409-7206
US

IV. Provider business mailing address

4301 S PINE ST STE 301
TACOMA WA
98409-7206
US

V. Phone/Fax

Practice location:
  • Phone: 800-287-2680
  • Fax: 253-476-6547
Mailing address:
  • Phone: 800-287-2680
  • Fax: 253-476-6547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF00002082
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: