Individual provider · Type 1 NPI
Roger Alan Koller
Peer Specialist · Richmond, VA
NPI number
1720581986
Active
Practice location
513 Portwest Ct
Richmond, VA 23238-5529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Peer Specialist Primary | 175T00000X | 1782 (VA) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1720581986
Roger Alan Koller's National Provider Identifier is 1720581986, issued on Mar 14, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Richmond, VA. The record was last updated on Jul 21, 2022.