ANTHONY KOCH

FAIRFAX, VA
NPI1790285377
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VA  0810008334)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: PA  PC012077)
101YP2500X Counselor, Professional
(Licence: VA  0701011884)
Enumeration Date2018-02-20
Last Update Date2023-11-09
Business Address
ANTHONY KOCH PsyD, LCP, LPC, NCC
2740 PROSPERITY AVE STE 200
FAIRFAX, VA 22031-4354
Phone number: 703-321-2600
Mailing Address
ANTHONY KOCH PsyD, LCP, LPC, NCC
9450 FAIRFAX BLVD APT 1433
FAIRFAX, VA 22031-2421
Phone number: 540-219-9608