Provider Demographics
NPI:1679148605
Name:DUMAS, CRYSTAL (MS, ALC)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:DUMAS
Suffix:
Gender:
Credentials:MS, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5736 WILLIAMSBURG LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-1014
Mailing Address - Country:US
Mailing Address - Phone:334-392-8460
Mailing Address - Fax:
Practice Address - Street 1:904 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1634
Practice Address - Country:US
Practice Address - Phone:425-977-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3731A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor