Jessica L Koch, LPC
Counselor, Professional in Shaker Heights, OH. Individual provider (NPI-1).
NPI number1083007231
StatusActive
Last updated in NPPESMar 12, 2015
Details
- NPI
- 1083007231
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica L Koch
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2015
- Last updated
- Mar 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C.1300793 | OH | Yes |
Practice location
22001 Fairmount BlvdShaker Heights, OH 44118-4819
Phone 216-320-8976
Mailing address
868 Harris RdSheffield Lake, OH 44054-1416
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