person
Dr. Henry Thomas Koch III, PHD
Mental Health Counselor in Manassas, Virginia
NPI 1487679585

Henry Thomas Koch III is a Mental Health Counselor based in Manassas, VA and is specialized in Mental Health. Henry Thomas Koch III practices in Manassas, VA and has the professional credentials of PHD. The NPI Number for Henry Thomas Koch III is 1487679585 and holds a License No. 0810001860 (Virginia).

The current practice location address for Henry Thomas Koch III is 8140 Ashton Ave, Manassas, VA and can be reached out via phone at 703-330-9933 and via fax at 703-368-8454. You can also correspond with Henry Thomas Koch III through the mailing address at 8140 ASHTON AVE, MANASSAS, VA - 20109-2894 (mailing address contact number: 703-330-9933).

Location: 8140 Ashton Ave, Manassas, VA, 20109-2894
person
Provider Profile Details
NPI Number
1487679585
Provider Name
Henry Thomas Koch III
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
8140 Ashton Ave, Manassas, VA, 20109-2894
Phone Number
703-330-9933
Fax Number
703-368-8454
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7705981 05 VA
institution
Provider Business Practice Location Address Details
Address
8140 Ashton Ave
City
State
Zip
20109-2894
Phone Number
703-330-9933
Fax Number
703-368-8454
person
Provider Business Mailing Address Details
Address
8140 Ashton Ave
City
State
Zip
20109-2894
Phone Number
703-330-9933
Fax Number
703-368-8454
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0810001860 (Virginia)
Definition
Definition to come...
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