Jacqueline Perry Dauw, MA, LPC
Individual provider Active NPI Professional Counselor · Lemont, IL
NPI 1972895878 · NPPES record last updated May 27, 2011
Key facts
- NPI
- 1972895878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178006487 (IL)
- Practice address
- 40 Timberline Dr
Lemont, IL 60439-3848 - Phone
- (630) 248-4950
- NPI assigned
- May 10, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178006487 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178006487 | IL | Yes |
Addresses
Primary practice location
40 Timberline Dr
Lemont, IL 60439-3848
Mailing address
2236 W Belden Ave
Apt. 2F
Chicago, IL 60647-3250
Phone (949) 439-2525
Other providers in Lemont, IL
- Ron Joseph Czub
- D'Caregivers Inc.
- Stephanie Dangelo
- Melissa Daravalis
- Temitayo Dasilva
- Michael F Davidson
- Sydney Marie De Cicco
- Beata Dederowski
- Kimberly Dawn Dennis
- Digestive Health Consultants, SC
All providers in Lemont, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.