Individual provider · Type 1 NPI

Jordan Jeffrey Jolly, LCPC

Professional Counselor · Missoula, MT

NPI number 1376294488 Active

Practice location

634 Eddy Ave
Missoula, MT 59812-1802

Call (406) 243-4712 Map

Mailing address

270 Broken Top Ln Apt 212
Missoula, MT 59802-3252

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X51413 (MT)

Professional Counselor: Definition to come...

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About NPI 1376294488

Jordan Jeffrey Jolly, LCPC's National Provider Identifier is 1376294488, issued on Jan 11, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Missoula, MT. The record was last updated on Jan 11, 2022.