Individual
RICHARD KENNETH KOEPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., M.DIV
Contact information
Practice address
57 LABELLE TER, AMHERST, NY 14228-1330
(716) 688-5002
Mailing address
57 LABELLE TER, AMHERST, NY 14228-1330
(716) 688-5002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000551
NY
106H00000X
Marriage & Family Therapist
Primary
000040
NY
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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