Individual ProviderKrista KollerCounselorBehavioral Health & Social Service ProvidersPractice Address3857 Martin Way E, Olympia, WA 98506-5268(360) 704-7170PECOS EnrollmentBased on the most recent information from CMS, provider Krista Koller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:41 AM.Profile DetailsProvider ID1033726609Provider TypeIndividualFull NameKoller, KristaGenderFemaleSole ProprietorNoEnumeration Date9/28/2020Last Updated9/28/2020Contact InformationPractice LocationPractice Address3857 Martin Way E, Olympia, WA 98506-5268Phone(360) 704-7170FaxUnlisted FaxMailing LocationMailing Address3857 Martin Way E, Olympia, WA 98506-5268PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer