person
Roger Alan Koller
Peer Specialist in Richmond, Virginia
NPI 1720581986

Roger Alan Koller is a Peer Specialist based in Richmond, VA. Roger Alan Koller practices in Richmond, VA. The NPI Number for Roger Alan Koller is 1720581986 and holds a License No. (Virginia).

The current practice location address for Roger Alan Koller is 513 Portwest Ct, Richmond, VA and can be reached out via phone at 804-614-5944. You can also correspond with Roger Alan Koller through the mailing address at 513 PORTWEST CT, RICHMOND, VA - 23238-5529 (mailing address contact number: 804-614-5944).

Location: 513 Portwest Ct, Richmond, VA, 23238-5529
person
Provider Profile Details
NPI Number
1720581986
Provider Name
Roger Alan Koller
Credential
Provider Entity Type
Individual
Gender
Male
Address
513 Portwest Ct, Richmond, VA, 23238-5529
Phone Number
804-614-5944
Fax Number
Provider Enumeration Date
03/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
513 Portwest Ct
City
State
Zip
23238-5529
Phone Number
804-614-5944
Fax Number
person
Provider Business Mailing Address Details
Address
513 Portwest Ct
City
State
Zip
23238-5529
Phone Number
804-614-5944
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Virginia)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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