Individual
ANNA M. KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LPCC
Contact information
Practice address
6533 DESERT SPIRIT RD NW, ALBUQUERQUE, NM 87114-6110
(505) 585-5301
Mailing address
6533 DESERT SPIRIT RD NW, ALBUQUERQUE, NM 87114-6110
(505) 585-5301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0182801
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47080829226
—
NE
05
—
65000862
—
NM
01
—
838965-000
MAGELLAN MIS
NE
Enumeration date
08/31/2006
Last updated
10/13/2023
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