Gail A Koch, M.A., L.C.P.C.

NPI #1073669016 in Peoria, Illinois

Provider Information

NPI Number
1073669016
Entity Type
Individual
Name
Gail A Koch, M.A., L.C.P.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
M.A., L.C.P.C.
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
530 NE GLEN OAK AVE
City
Peoria
ZIP Code
61637-0001
Phone
(309) 624-9522

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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