Individual provider · Type 1 NPI

Suzanne K. Koch, LICSW

Mental Health Counselor · Burlington, VT

NPI number 1861581209 Active

Practice location

1138 Pine St, Burlington
Burlington, VT 05401-5353

Fax (802) 660-3665

Mailing address

1518 11th St, Ste 1-4
Monroe, WI 53566-1701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7879-123 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1861581209

Suzanne K. Koch, LICSW's National Provider Identifier is 1861581209, issued on Oct 12, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burlington, VT. The record was last updated on Aug 6, 2019.