Nicole Anne Koch, MA, LPCC

NPI #1023637014 in Champlin, Minnesota

Provider Information

NPI Number: 1023637014
Entity Type: Individual
Name: Nicole Anne Koch, MA, LPCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MA, LPCC
Enumeration Date: Apr 10, 2020
Last Updated: Oct 11, 2022

Practice Location

Address: 11117 ZEALAND AVE N
City: Champlin
State: Minnesota
ZIP Code: 55316-3595
Phone: (763) 746-0842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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