person
Jack L Koch, LCPC
Mental Health Counselor in Carlyle, Illinois
NPI 1184742074

Jack L Koch is a Mental Health Counselor based in Carlyle, IL and is specialized in Mental Health. Jack L Koch practices in Carlyle, IL and has the professional credentials of LCPC. The NPI Number for Jack L Koch is 1184742074 and holds a License No. (Illinois).

The current practice location address for Jack L Koch is 580 8Th St, Carlyle, IL and can be reached out via phone at 618-594-4581.

Location: 580 8Th St, Carlyle, IL, 62231-4032
person
Provider Profile Details
NPI Number
1184742074
Provider Name
Jack L Koch
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
580 8Th St, Carlyle, IL, 62231-4032
Phone Number
618-594-4581
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
580 8Th St
City
State
Zip
62231-1803
Phone Number
618-594-4581
Fax Number
person
Provider Business Mailing Address Details
Address
580 8Th St
City
State
Zip
62231-1803
Phone Number
618-594-4581
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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