Individual
NICOLE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 S UNIVERSITY AVE, MOUNT PLEASANT, MI 48858-3147
(616) 617-5122
Mailing address
421 S UNIVERSITY AVE, MOUNT PLEASANT, MI 48858-3147
(616) 617-5122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019109
MI
Other
Enumeration date
10/14/2020
Last updated
04/19/2021
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