JENNIFER KOCH, PSY.D., PLLC

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Company Details

Legal Name:	JENNIFER KOCH, PSY.D., PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	April 27th 2015
Expiration date:	30 Apr 2026
UBI Number:	603 500 661
ZIP code:	98501
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	111 TUMWATER BLVD SE STE C213, TUMWATER, WA, 98501-6400, UNITED STATES

Contact Details

E-Mail:	DRJENNIFERKOCH@GMAIL.COM
Phone Number:	+1 360-485-2806

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
JENNIFER KOCH	Registered Agent	111 TUMWATER BLVD SE STE C213, SUITE C213, TUMWATER, WA, 98501-6400, UNITED STATES

Key Officers & Management

Name	Role
JENNIFER KOCH	Governing Person

National Provider Identifier

NPI Number:

1184355562

Certification Date:

2022-07-01

Link:

View on NPI website

Authorized Person:

Name:

DR. JENNIFER KOCH

Role:

PSYCHOLOGIST/OWNER

Phone:

3607062674

Taxonomy:

Selected Taxonomy:

103T00000X - Psychologist

Is Primary:

Yes

Contacts:

Phone:

+1 360-706-2674

Fax:

3606343565

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$15,520

Date Approved:

2021-01-25

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$15,520

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$15,610.57

Servicing Lender:

Cross River Bank

Use of Proceeds:

Payroll: $15,518
Utilities: $1

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