Individual provider · Type 1 NPI

Henry Thomas Koch Iii, PhD

Mental Health Counselor · Manassas, VA

NPI number 1487679585 Active

Practice location

8140 Ashton Ave, Suite 200
Manassas, VA 20109-2894

Call (703) 330-9933 Map

Fax (703) 368-8454

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0810001860 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1487679585

Henry Thomas Koch Iii, PhD's National Provider Identifier is 1487679585, issued on Jul 12, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manassas, VA. The record was last updated on Nov 14, 2007.