Individual
SHANA KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10850 W PARK PL STE 100, MILWAUKEE, WI 53224-3636
(262) 999-3495
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(262) 999-3495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11741-125
WI
Other
Enumeration date
06/05/2022
Last updated
06/24/2025
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