Individual provider · Type 1 NPI

Jamie Koller

Mental Health Counselor · Elizabeth City, NC

NPI number 1083112809 Active

Practice location

400 S Water St
Elizabeth City, NC 27909-4942

Mailing address

507 Seaview Dr
Edenton, NC 27932-9269

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA13569 (NC)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1083112809

Jamie Koller's National Provider Identifier is 1083112809, issued on Jan 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elizabeth City, NC. The record was last updated on Jan 26, 2018.