Individual
LYDIA JANE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
35037 ROYAL PL, SOLDOTNA, AK 99669-9755
(907) 299-8871
Mailing address
PO BOX 369, ANCHOR POINT, AK 99556-0369
(907) 299-7781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
187965
AK
Other
Enumeration date
04/04/2018
Last updated
07/03/2023
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