SearchMichigan101YP2500X

Randall Koch, MS, LPC

NPI 1336563311 · on the registry since 2014

Practice

Address
704 Emmet St
Petoskey, MI 49770
Phone
(231) 347-5511
Organisation at this address
Harbor Hall, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
MI, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan