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Matthew Koller
Mental Health Counselor in Mentor, Ohio
NPI 1558745760

Matthew Koller is a Mental Health Counselor based in Mentor, OH and is specialized in Mental Health. Matthew Koller practices in Mentor, OH. The NPI Number for Matthew Koller is 1558745760 and holds a License No. (Ohio).

The current practice location address for Matthew Koller is 8445 Munson Rd, Mentor, OH and can be reached out via phone at 440-255-1700.

Location: 8445 Munson Rd, Mentor, OH, 44060-2410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558745760
Provider Name
Matthew Koller
Credential
Provider Entity Type
Individual
Gender
Male
Address
8445 Munson Rd, Mentor, OH, 44060-2410
Phone Number
440-255-1700
Fax Number
Provider Enumeration Date
07/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2844093 05 OH
institution
Provider Business Practice Location Address Details
Address
8445 Munson Rd
City
Mentor
State
Ohio
Zip
44060-2410
Phone Number
440-255-1700
Fax Number
person
Provider Business Mailing Address Details
Address
8445 Munson Rd
City
Mentor
State
Ohio
Zip
44060-2410
Phone Number
440-255-1700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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