Brian Koch
Counselor, Professional in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1730516006
StatusActive
Last updated in NPPESOct 2, 2013
Details
- NPI
- 1730516006
- Entity type
- Individual (NPI-1)
- Name
- Brian Koch
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2013
- Last updated
- Oct 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 11185 | CO | Yes |
Practice location
115 S Parkside DrColorado Springs, CO 80910-3130
Phone 719-572-6100
Mailing address
220 Ruskin DrColorado Springs, CO 80910-2522
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