person
Mr. Timothy John Koller, MS,LPC
Professional Counselor in Wausau, Wisconsin
NPI 1407918998

Timothy John Koller is a Professional Counselor based in Sheboygan, WI and is specialized in Professional. Timothy John Koller practices in Wausau, WI and has the professional credentials of MS,LPC. The NPI Number for Timothy John Koller is 1407918998 and holds a License No. 2649-125 (Wisconsin).

The current practice location address for Timothy John Koller is 401 5Th St, Wausau, WI and can be reached out via phone at 715-849-3311 and via fax at 715-849-8414.

Location: 401 5Th St, Wausau, WI, 53082-1127
person
Provider Profile Details
NPI Number
1407918998
Provider Name
Timothy John Koller
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
401 5Th St, Wausau, WI, 53082-1127
Phone Number
715-849-3311
Fax Number
715-849-8414
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39756000 05 WI
institution
Provider Business Practice Location Address Details
Address
401 5Th St
City
State
Zip
54403-5470
Phone Number
715-849-3311
Fax Number
715-849-8414
person
Provider Business Mailing Address Details
Address
401 5Th St
City
State
Zip
54403-5470
Phone Number
715-849-3311
Fax Number
715-849-8414
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2649-125 (Wisconsin)
Definition
Definition to come...
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