Individual provider · Type 1 NPI
Nicole Anne Koch, MA, LPCC
Professional Counselor · Champlin, MN
NPI number
1023637014
Active
Practice location
11117 Zealand Ave N
Champlin, MN 55316-3595
Mailing address
235 Mallard Ln
Loretto, MN 55357-9563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | CC02437 (MN) |
| Professional Counselor Primary | 101YP2500X | 2437 (MN) |
Professional Counselor: Definition to come...
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About NPI 1023637014
Nicole Anne Koch, MA, LPCC's National Provider Identifier is 1023637014, issued on Apr 10, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Champlin, MN. The record was last updated on Oct 11, 2022.