person
Zackery Koch, BA,MAADAC-I
Addiction (Substance Use Disorder) Counselor in Bolivar, Missouri
NPI 1346895976

Zackery Koch is an Addiction (Substance Use Disorder) Counselor based in Bolivar, MO and is specialized in Addiction (Substance Use Disorder). Zackery Koch practices in Bolivar, MO and has the professional credentials of BA,MAADAC-I. The NPI Number for Zackery Koch is 1346895976 and holds a License No. 11936 (Missouri).

The current practice location address for Zackery Koch is 302 W Jackson St, Bolivar, MO and can be reached out via phone at 417-410-7474.

Location: 302 W Jackson St, Bolivar, MO, 65613-1931
person
Provider Profile Details
NPI Number
1346895976
Provider Name
Zackery Koch
Credential
BA,MAADAC-I
Provider Entity Type
Individual
Gender
Male
Address
302 W Jackson St, Bolivar, MO, 65613-1931
Phone Number
417-410-7474
Fax Number
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
302 W Jackson St
City
State
Zip
65613-1931
Phone Number
417-410-7474
Fax Number
person
Provider Business Mailing Address Details
Address
302 W Jackson St
City
State
Zip
65613-1931
Phone Number
417-410-7474
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11936 (Missouri)
Definition
Definition to come...
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