Individual
DAVID T KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1023 EXECUTIVE PARKWAY DR, SUITE 10, SAINT LOUIS, MO 63141-6323
(314) 469-5522
(314) 469-5504
Mailing address
1023 EXECUTIVE PARKWAY DR, SUITE 10, SAINT LOUIS, MO 63141-6323
(314) 469-5522
(314) 469-5504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007012314
MO
Other
Enumeration date
08/20/2009
Last updated
01/10/2013
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