Individual provider · Type 1 NPI
Ian Koch, MS, LCADC, CAS
Addiction (Substance Use Disorder) Counselor · Ventnor City, NJ
NPI number
1851808802
Active
Practice location
3 S Weymouth Ave Unit G
Ventnor City, NJ 08406-2980
Mailing address
3 Edgewood Dr
Somers Point, NJ 08244-1613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00214900 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Ventnor City
About NPI 1851808802
Ian Koch, MS, LCADC, CAS's National Provider Identifier is 1851808802, issued on Dec 29, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ventnor City, NJ. The record was last updated on Dec 29, 2017.