Lisa Michelle Koller, SUDA
Lisa Michelle Koller, SUDA is an Addiction (Substance Use Disorder) Counselor in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
1810 W Broadway StIdaho Falls, ID 83402-5072
Phone: (208) 313-4550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 13020 (ID) |
|---|
Record details
| NPI number | 1467221093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDA |
| Sole proprietor | Yes |
| NPI enumerated | December 22, 2023 |
| Last updated in NPPES | December 22, 2023 |
| Certification date | December 22, 2023 |
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