| Jack L Koch, LCPC | |
|
580 8th St, Carlyle, IL 62231-1803 | |
| (618) 594-4581 | |
| Not Available |
| Full Name | Jack L Koch |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 580 8th St, Carlyle, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184742074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack L Koch, LCPC 23412 Brink Rd, Carlyle, IL 62231-4032 Ph: (618) 594-4067 | Jack L Koch, LCPC 580 8th St, Carlyle, IL 62231-1803 Ph: (618) 594-4581 |
Ms. Sharon Rae Wilke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 8th St, Carlyle, IL 62231 Phone: 618-594-4581 | |
Joanna M Meinert, MHP, CRADC, MISA I Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 8th St, Carlyle, IL 62231 Phone: 618-594-4581 Fax: 618-594-8482 | |
Jean Ann Nosbisch, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 8th St, Carlyle, IL 62231 Phone: 618-594-4581 Fax: 618-594-8482 | |
Sarah Jo Dorr, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 8th St, Carlyle, IL 62231 Phone: 618-594-4581 Fax: 618-594-8482 |