Individual
MRS. JENNIFER LYNN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
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, OLYMPIA, WA 98501-6400
(360) 706-2674
(360) 634-3565
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60313526
WA
Other
Enumeration date
01/17/2013
Last updated
06/17/2022
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