Amanda Ann Koch, CPRS

NPI #1376313148 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1376313148
Entity Type: Individual
Name: Amanda Ann Koch, CPRS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CPRS
Enumeration Date: Jan 3, 2024
Last Updated: Jan 3, 2024

Practice Location

Address: 210 5TH AVE NE APT 204
City: Saint Cloud
State: Minnesota
ZIP Code: 56304-0475
Phone: (320) 360-6004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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