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Individual

STEVEN KOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., LPCC

Contact information

Practice address
1505 15TH ST, SUITE C, LOS ALAMOS, NM 87544-3000
(505) 662-3264
(505) 662-9707
Mailing address
1505 15TH ST, SUITE C, LOS ALAMOS, NM 87544-3000
(505) 662-3264
(505) 662-9707

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0165781
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09727523
NM
Enumeration date
04/22/2011
Last updated
06/03/2014
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