person
Randall Koch, MS,LPC
Professional Counselor in Petoskey, Michigan
NPI 1336563311

Randall Koch is a Professional Counselor based in Petoskey, MI and is specialized in Professional. Randall Koch practices in Petoskey, MI and has the professional credentials of MS,LPC. The NPI Number for Randall Koch is 1336563311 and holds a License No. 6401012477 (Michigan).

The current practice location address for Randall Koch is 704 Emmet St, Petoskey, MI and can be reached out via phone at 231-347-5511.

Location: 704 Emmet St, Petoskey, MI, 49770-2910
person
Provider Profile Details
NPI Number
1336563311
Provider Name
Randall Koch
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
704 Emmet St, Petoskey, MI, 49770-2910
Phone Number
231-347-5511
Fax Number
Provider Enumeration Date
02/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
704 Emmet St
City
State
Zip
49770-2910
Phone Number
231-347-5511
Fax Number
person
Provider Business Mailing Address Details
Address
704 Emmet St
City
State
Zip
49770-2910
Phone Number
231-347-5511
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401012477 (Michigan)
Definition
Definition to come...
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