Individual
MRS. JAMIE KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S WATER ST, ELIZABETH CITY, NC 27909-4942
(252) 333-4569
Mailing address
507 SEAVIEW DR, EDENTON, NC 27932-9269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13569
NC
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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