Individual
STEPHANIE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
195 EAST RD STE 104, LOS ALAMOS, NM 87544-4301
(505) 412-7756
(505) 662-8859
Mailing address
195 EAST RD STE 104, LOS ALAMOS, NM 87544-4301
(505) 412-7756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0202931
NM
Other
Enumeration date
07/07/2016
Last updated
07/22/2022
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