Individual
MS. ANNETTE ROSE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III- COLORADO
Contact information
Practice address
8801 LIPAN ST, THORNTON, CO 80260-4912
(303) 412-3807
(303) 412-3365
Mailing address
8801 LIPAN ST, THORNTON, CO 80260-4912
(303) 412-3807
(303) 412-3365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3012
CO
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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