Individual provider · Type 1 NPI

Andria Koller

Mental Health Counselor · Salt Lake City, UT

NPI number 1245986991 Active

Practice location

2655 S Lake Erie Dr
Salt Lake City, UT 84120-7350

Call (919) 282-2967 Map

Mailing address

701 E 2nd Ave Apt F
Salt Lake City, UT 84103-3681

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12544516-6010 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1245986991

Andria Koller's National Provider Identifier is 1245986991, issued on Feb 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 22, 2022.