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Individual

ANDRIA KOLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2655 S LAKE ERIE DR, SALT LAKE CITY, UT 84120-7350
(919) 282-2967
Mailing address
701 E 2ND AVE APT F, SALT LAKE CITY, UT 84103-3681
(919) 282-2967

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12544516-6010
UT

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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