Individual provider · Type 1 NPI

Kathleen Koller, MHC-LP

Mental Health Counselor · Staten Island, NY

NPI number 1669065504 Active

Practice location

135 Corson Ave
Staten Island, NY 10301-2933

Call (917) 385-7929 Map

Mailing address

PO Box 1563
New York, NY 10159-1563

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP107677 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1669065504

Kathleen Koller, MHC-LP's National Provider Identifier is 1669065504, issued on Feb 11, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Feb 11, 2021.