Individual provider · Type 1 NPI

Timothy John Koller, MS, LPC

Professional Counselor · Wausau, WI

NPI number 1407918998 Active

Practice location

401 5th St, Ste 235
Wausau, WI 54403-5470

Call (715) 849-3311 Map

Fax (715) 849-8414

Mailing address

PO Box 1127
Sheboygan, WI 53082-1127

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2649-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1407918998

Timothy John Koller, MS, LPC's National Provider Identifier is 1407918998, issued on Dec 14, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wausau, WI. The record was last updated on Nov 11, 2008.