Doctor Name: | JOHN F KOCH |
NPI Number: | 1033564570 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LMHC |
License Number: | LH60634995 |
Business Practice Address: | 13642 103rd Ave Ne Kirkland, WA - 980342045 |
Business Phone Number: | 4252736379 |
Business Fax Number: | |
Mailing Address: | 13642 103rd Ave Ne, KIRKLAND |
State: | WA |
Postal Code: | 980342045 |
Phone Number: | 4252736379 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2016 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH60634995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |