| Doctor Name: | STEVEN KOCH |
| NPI Number: | 1124319231 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., LPCC |
| License Number: | 0165781 |
| Business Practice Address: | 1505 15th St Suite C Los Alamos, NM - 875443000 |
| Business Phone Number: | 5056623264 |
| Business Fax Number: | 5056629707 |
| Mailing Address: | 1505 15th St, Suite C LOS ALAMOS |
| State: | NM |
| Postal Code: | 875443000 |
| Phone Number: | 5056623264 |
| Fax Number: | 5056629707 |
| NPI Enumeration Date: | 04/22/2011 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0165781 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |