Koch, Nicole Anne

Koch, Nicole Anne is an individual health care provider with primary practice located at 11117 Zealand Ave N , Champlin MN 55316-3595. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Koch, Nicole Anne can be contacted via phone (763) 746-0842.

Contact Information

Primary practice address
11117 Zealand Ave N Champlin MN 55316-3595
Phone: (763) 746-0842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC02437 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 2437 Minnesota

Profile Details

NPI number 1023637014
LBN Legal business name Koch, Nicole Anne
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2020
Last updated Oct 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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