Individual provider · Type 1 NPI

Luke Koll

Mental Health Counselor · San Luis Obispo, CA

NPI number 1891046595 Active

Practice location

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Mailing address

454 Helen St
Paso Robles, CA 93446-3202

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X36547 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1891046595

Luke Koll's National Provider Identifier is 1891046595, issued on Sep 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 21, 2012.