Individual provider · Type 1 NPI
Thomas Edward Koch, MS
Mental Health Counselor · Council Bluffs, IA
NPI number
1033769112
Active
Practice location
803 3rd Ave # IA51501
Council Bluffs, IA 51501-4101
Fax (712) 352-0837
Mailing address
4916 Webster St
Omaha, NE 68132-2426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 11982 (NE) |
| Mental Health Counselor Primary | 101YM0800X | 096742 (IA) |
Mental Health Counselor: Definition to come...
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About NPI 1033769112
Thomas Edward Koch, MS's National Provider Identifier is 1033769112, issued on Sep 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Council Bluffs, IA. The record was last updated on Sep 19, 2019.