Individual
MR. PHILIP JORDAN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
8150 WORNALL RD, KANSAS CITY, MO 64114-5806
(816) 508-3500
(816) 508-3535
Mailing address
8150 WORNALL RD, KANSAS CITY, MO 64114-5806
(816) 508-3500
(816) 508-3535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2012003620
MO
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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