Individual
COURTNEY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1315 S MAIN ST STE C, MARYVILLE, MO 64468-2605
(660) 223-1700
Mailing address
1315 S MAIN ST STE C, MARYVILLE, MO 64468-2605
(660) 223-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014034536
MO
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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