Individual provider · Type 1 NPI
John Zacher, LISAC
Addiction (Substance Use Disorder) Counselor · Whiteriver, AZ
NPI number
1073069654
Active
Practice location
302 West Ponderosa Drive
Whiteriver, AZ 85941-1790
Fax (928) 338-4100
Mailing address
PO Box 1790, 302 West Ponderosa Drive
Whiteriver, AZ 85941-1790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10818 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1073069654
John Zacher, LISAC's National Provider Identifier is 1073069654, issued on Sep 1, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Whiteriver, AZ. The record was last updated on Sep 1, 2016.