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Melissa Koch
Peer Specialist in Bridgeport, West Virginia
NPI 1346945797

Melissa Koch is a Peer Specialist based in Bridgeport, WV. Melissa Koch practices in Bridgeport, WV. The NPI Number for Melissa Koch is 1346945797 and holds a License No. (West Virginia).

The current practice location address for Melissa Koch is 65 Professional Pl Ste 102103, Bridgeport, WV and can be reached out via phone at 304-848-5770.

Location: 65 Professional Pl Ste 102103, Bridgeport, WV, 26330-0258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346945797
Provider Name
Melissa Koch
Credential
Provider Entity Type
Individual
Gender
Female
Address
65 Professional Pl Ste 102103, Bridgeport, WV, 26330-0258
Phone Number
304-848-5770
Fax Number
Provider Enumeration Date
04/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
65 Professional Pl Ste 102103
City
Bridgeport
State
West Virginia
Zip
26330-0258
Phone Number
304-848-5770
Fax Number
person
Provider Business Mailing Address Details
Address
65 Professional Pl Ste 102103
City
Bridgeport
State
West Virginia
Zip
26330-0258
Phone Number
304-848-5770
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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