Provider Demographics
NPI:1396594461
Name:DUNBAR, JESSICA MARIE (MS, LPCC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIE
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1257 LAKE PLAZA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3561
Mailing Address - Country:US
Mailing Address - Phone:719-424-4653
Mailing Address - Fax:
Practice Address - Street 1:1257 LAKE PLAZA DR STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3561
Practice Address - Country:US
Practice Address - Phone:719-424-4653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021943101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional