Zackery Koch, BA, MAADAC-I

NPI #1346895976 in Bolivar, Missouri

Provider Information

NPI Number
1346895976
Entity Type
Individual
Name
Zackery Koch, BA, MAADAC-I
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
BA, MAADAC-I
Enumeration Date
Aug 9, 2019
Last Updated
Aug 9, 2019

Practice Location

Address
302 W JACKSON ST
ZIP Code
65613-1931
Phone
(417) 410-7474

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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