Individual
NATHAN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC, C.I., M.S.
Contact information
Practice address
3330 W ESPLANADE AVE S, 600, METAIRIE, LA 70002-3454
(504) 831-8475
Mailing address
3330 WEST ESPLANADE AVENUE, 600, METAIRIE, LA 70002
(504) 831-8475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5623
LA
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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