Nicole Anne Koch, MA, LPCC
Counselor, Professional in Champlin, MN. Individual provider (NPI-1).
NPI number1023637014
StatusActive
Last updated in NPPESOct 11, 2022
Details
- NPI
- 1023637014
- Entity type
- Individual (NPI-1)
- Name
- Nicole Anne Koch
- Credential
- MA, LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2020
- Certification date
- Oct 11, 2022
- Last updated
- Oct 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2437 | MN | Yes |
| 101YM0800X | Counselor, Mental Health | cc02437 | MN |
Practice location
11117 Zealand Ave NChamplin, MN 55316-3595
Phone 763-746-0842
Mailing address
235 Mallard LnLoretto, MN 55357-9563
Phone 763-286-7138
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Other Professional Counselor providers in Champlin, MN
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- Christina A Evensen, LPC, NCCNPI 1972871168
- Evelyn L WashingtonNPI 1467077438
All 5 Professional Counselor providers in Champlin · All 341 providers in Champlin
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