Individual
MS. COLLEEN REBECCA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
75 S CHURCH ST, 6TH FLOOR SUITE 6, PITTSFIELD, MA 01201-6157
(413) 358-4757
Mailing address
75 S CHURCH ST, 6TH FLOOR SUITE 6, PITTSFIELD, MA 01201-6157
(413) 358-4757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7606
MA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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