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Mrs. Jamie Koller
Mental Health Counselor in Elizabeth City, North Carolina
NPI 1083112809

Jamie Koller is a Mental Health Counselor based in Edenton, NC and is specialized in Mental Health. Jamie Koller practices in Elizabeth City, NC. The NPI Number for Jamie Koller is 1083112809 and holds a License No. A13569 (North Carolina).

The current practice location address for Jamie Koller is 400 S Water St, Elizabeth City, NC and can be reached out via phone at 252-333-4569.

Location: 400 S Water St, Elizabeth City, NC, 27932-9269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083112809
Provider Name
Jamie Koller
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 S Water St, Elizabeth City, NC, 27932-9269
Phone Number
252-333-4569
Fax Number
Provider Enumeration Date
01/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 S Water St
City
Elizabeth City
State
North Carolina
Zip
27909-4942
Phone Number
252-333-4569
Fax Number
person
Provider Business Mailing Address Details
Address
400 S Water St
City
Elizabeth City
State
North Carolina
Zip
27909-4942
Phone Number
252-333-4569
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A13569 (North Carolina)
Definition
Definition to come...
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