Individual provider · Type 1 NPI
Zackery Koch, BA, MAADAC-I
Addiction (Substance Use Disorder) Counselor · Bolivar, MO
NPI number
1346895976
Active
Practice location
302 W Jackson St
Bolivar, MO 65613-1931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11936 (MO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Bolivar
About NPI 1346895976
Zackery Koch, BA, MAADAC-I's National Provider Identifier is 1346895976, issued on Aug 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bolivar, MO. The record was last updated on Aug 9, 2019.