NICHOLAS RYAN KOCH

FRESNO, CA
NPI1417147836
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-08-01
Last Update Date2007-08-01
Business Address
Mr. NICHOLAS RYAN KOCH
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
Mailing Address
Mr. NICHOLAS RYAN KOCH
2881 HUNTINGTON BLVD APT 260
FRESNO, CA 93721-2324
Phone number: 559-903-3343
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