Individual
MS. JESSICA L KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8976
Mailing address
868 HARRIS RD, SHEFFIELD LAKE, OH 44054-1416
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1300793
OH
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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