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Mr. George Michael Koll, MA,CDP
Addiction (Substance Use Disorder) Counselor in Walla Walla, Washington
NPI 1659699312

George Michael Koll is an Addiction (Substance Use Disorder) Counselor based in Walla Walla, WA and is specialized in Addiction (Substance Use Disorder). George Michael Koll practices in Walla Walla, WA and has the professional credentials of MA,CDP. The NPI Number for George Michael Koll is 1659699312 and holds a License No. CP00001780 (Washington).

The current practice location address for George Michael Koll is 2316 Eastgate North Str., Walla Walla, WA and can be reached out via phone at 509-522-2791.

Location: 2316 Eastgate North Str., Walla Walla, WA, 99362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659699312
Provider Name
George Michael Koll
Credential
MA,CDP
Provider Entity Type
Individual
Gender
Male
Address
2316 Eastgate North Str., Walla Walla, WA, 99362
Phone Number
509-522-2791
Fax Number
Provider Enumeration Date
05/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2316 Eastgate North Str.
City
Walla Walla
State
Washington
Zip
99362
Phone Number
509-522-2791
Fax Number
person
Provider Business Mailing Address Details
Address
2316 Eastgate North Str.
City
Walla Walla
State
Washington
Zip
99362
Phone Number
509-522-2791
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP00001780 (Washington)
Definition
Definition to come...
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