MEDICARE: DARRIAN DUMAIS LAC, NCC

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	101YM0800X	Mental Health Counselor	LAC-20498	AZ

General Provider Information

NPI Number	:	1679226625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRIAN DUMAIS LAC, NCC

Provider Business Mailing Address
First Line	:	6700 N ORACLE RD STE 119
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-7733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 N ORACLE RD STE 119
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-7733
Country	:	US
Telephone Number	:	480-482-1838
Fax Number	:

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

Provider Enumeration Date	:	01/31/2022
Last Update Date	:	07/11/2025

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