RICHARD K KOCH
Mental Health at Crystal Lk Dr, Lakeland, FL

License number
Florida 11813
Issued Date
Dec 4, 2013
Effective Date
Nov 4, 2015
Expiration Date
Mar 31, 2017
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
1880 N Crystal Lake Dr #46, Lakeland, FL 33801
202 S 9Th Ave, Wachula, FL 33873
Phone
(863) 398-7392
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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