Individual
JORDAN CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
613 E MAIN ST., BUENA VISTA, CO 81211-9551
(720) 584-8055
(303) 957-2251
Mailing address
PO BOX 3111, BUENA VISTA, CO 81211-3111
(719) 966-9589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0020692
CO
103K00000X
Behavior Analyst
1-24-74953
CO
Other
Enumeration date
01/11/2022
Last updated
04/29/2026
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