Koller, Regina Lynn

Koller, Regina Lynn is an individual health care provider with primary practice located at 11440 W Bernardo Ct Ste 300 , San Diego CA 92127-1644. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Koller, Regina Lynn can be contacted via phone (858) 295-0594.

Contact Information

Primary practice address
11440 W Bernardo Ct Ste 300 San Diego CA 92127-1644
Phone: (858) 295-0594
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RA862911 California
Behavioral Health & Social Service Providers / Professional 101YP2500X 2471 California

Profile Details

NPI number 1538446455
LBN Legal business name Koller, Regina Lynn
Credentials LPCC, CADC-II
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2011
Last updated Jul 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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