Most Relevant Information
Provider Data
| NPI Number: | 1003363284 |
| Provider Name: | MICHAEL KOCH CADCII, BSCJA, SAP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | A022080216 |
Most Important Dates
| Enumeration Date: | 09/06/2016 |
| Last Updated: | 09/06/2016 |
Provider Practice Location
580 BEECH AVE STE B
CARLSBAD
CA
920081657
Practice Location Phone/Fax
| Phone: | 7602246631 |
| Fax: |
Provider Mailing Location
580 BEECH AVE STE B
CARLSBAD
CA
920081657
Provider Mailing Phone/Fax
| Phone: | 7602246631 |
| Fax: |