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Organization
JENNIFER KOCH, PSY.D., PLLC
Active
Organization
JENNIFER KOCH, PSY.D., PLLC
Active
Other names
Bloom and Blossom Wellness Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KOCH PSY.D. (PSYCHOLOGIST/OWNER)
(360) 706-2674
Entity
Organization
Contact information
Practice address
111 TUMWATER BLVD SE STE C213, TUMWATER, WA 98501-6400
(360) 706-2674
(360) 634-3565
Mailing address
111 TUMWATER BLVD SE STE C213, TUMWATER, WA 98501-6400
(360) 706-2674
(360) 634-3565
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
07/01/2022
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