Individual provider · Type 1 NPI
Rysa Shavonne Koch, M.A., LCPC
Professional Counselor · Flossmoor, IL
NPI number
1841860194
Active
Practice location
PO Box 251
Flossmoor, IL 60422-0251
Mailing address
912 Sterling Ave
Flossmoor, IL 60422-1241
Other practice locations
- 1757 N Kimball Ave Ste 202, Chicago, IL 60647-4805 · (954) 913-9255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor Primary | 101YP2500X | 180.017269 (IL) |
Professional Counselor: Definition to come...
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About NPI 1841860194
Rysa Shavonne Koch, M.A., LCPC's National Provider Identifier is 1841860194, issued on Jun 29, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Flossmoor, IL. The record was last updated on Mar 26, 2026.