Basic Information
| Provider Information | |||||||||
| NPI: | 1902003288 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KOCHERT | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | KREBS | ||||||||
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| Credential: | MA, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2550 KINGSTON RD | ||||||||
| Address2: | SUITE 211 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174023735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177555736 | ||||||||
| FaxNumber: | 7175815259 | ||||||||
| Practice Location | |||||||||
| Address1: | 2550 KINGSTON RD | ||||||||
| Address2: | SUITE 211 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174023735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177555736 | ||||||||
| FaxNumber: | 7175815259 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2007 | ||||||||
| LastUpdateDate: | 11/18/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | PC004602 | PA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.