Individual
PATRICK KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
8120 PENN AVE S STE 270, BLOOMINGTON, MN 55431-1320
(800) 336-5973
(612) 234-4689
Mailing address
12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343-4157
(952) 999-6097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
02/27/2025
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