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Individual

JESSICA KOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
11201 N TATUM BLVD STE 300, #912020, PHOENIX, AZ 85028-6039
(623) 252-9118
Mailing address
11201 N TATUM BLVD STE 300, #912020, PHOENIX, AZ 85028-6039
(206) 658-7951

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
20703
AZ

Other

Enumeration date
12/23/2016
Last updated
07/25/2025
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