John F Koch | Kirkland, WA • PECOS Search

John F Koch

Counselor

Behavioral Health & Social Service Providers

13642 103rd Ave NE, Kirkland, WA 98034-2045

PECOS Enrollment

Based on the most recent information from CMS, provider John F Koch does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033564570
Provider Type
Individual
Full Name
Koch, John F
Credential
M.A., LMHC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/3/2016
Last Updated
5/3/2016

Contact Information

Practice Location

13642 103rd Ave NE, Kirkland, WA 98034-2045

Unlisted Fax

Mailing Location

13642 103rd Ave NE, Kirkland, WA 98034-2045

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LH60634995 Washington