Individual
CHELSIE JO KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2120 60TH AVE NE, WILLMAR, MN 56201-9140
(320) 429-1469
(507) 218-8492
Mailing address
120 8TH STREET NE, MELROSE, MN 56352
(320) 429-1469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
26446
MN
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
08/01/2018
Last updated
04/25/2023
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