MEDICARE: JAMIE LOU DUNLAP LCPC

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	180.014810	IL
2	101YM0800X	Mental Health Counselor	MH27350	FL
3	101YP2500X	Professional Counselor	178.014597	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14410974	OTHER	IL	COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE

General Provider Information

NPI Number	:	1396200861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE LOU DUNLAP LCPC

Provider Business Mailing Address
First Line	:	2334 S CYPRESS BEND DR APT 811
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5627
Country	:	US
Telephone Number	:	708-831-3782
Fax Number	:

Provider Business Practice Location Address
First Line	:	2179 COLLEGE DR
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-1717
Country	:	US
Telephone Number	:	708-831-3782
Fax Number	:

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

Provider Enumeration Date	:	02/08/2019
Last Update Date	:	03/03/2026

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