Individual provider · Type 1 NPI

Jeffrey Zachary, CADC

Addiction (Substance Use Disorder) Counselor · Round Lake, IL

NPI number 1992177174 Active

Practice location

31979 N Fish Lake Rd
Round Lake, IL 60073-9517

Fax (847) 546-6760

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992177174

Jeffrey Zachary, CADC's National Provider Identifier is 1992177174, issued on Oct 27, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Round Lake, IL. The record was last updated on Oct 27, 2015.