Individual
LISA MICHELLE KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDA
Contact information
Practice address
1810 W BROADWAY ST, IDAHO FALLS, ID 83402-5072
(208) 313-4550
Mailing address
1422 FREMONT AVE, IDAHO FALLS, ID 83402-1553
(208) 313-4550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13020
ID
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us