Organization
JENNIFER KOCH, PSY.D., PLLC
Active
Other names
Bloom and Blossom Wellness Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KOCH PSY.D. (PSYCHOLOGIST/OWNER)
(360) 706-2674
Entity
Organization
Contact information
Practice address
111 TUMWATER BLVD SE STE C213, TUMWATER, WA 98501-6400
(360) 706-2674
(360) 634-3565
Mailing address
111 TUMWATER BLVD SE STE C213, TUMWATER, WA 98501-6400
(360) 706-2674
(360) 634-3565
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
07/01/2022
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