Individual
MS. AMANDA RACHEL KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
487 DEVON PARK DR, WAYNE, PA 19087-1808
(484) 685-0965
Mailing address
487 DEVON PARK DR, WAYNE, PA 19087-1808
(484) 685-0965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC012636
PA
Other
Enumeration date
09/16/2020
Last updated
12/16/2020
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