NPI 1174682041

Mark G Koch, LMFT

Practitioner Marriage & Family Therapist White River Junction, VT

Practice location

Address: 1011 N. Main St. #21, White River Junction, VT 05001
Phone: (802) 299-1192
Mailing address: PO Box 187, Hartland, VT 05048-9427

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 100-0000053 (VT)

Other Marriage & Family Therapist providers in Vermont →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 1999139249 (MO)

Registry record

NPI: 1174682041
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2006
Record last updated: 16 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.