person
Ian Koch, MS,LCADC,CAS
Addiction (Substance Use Disorder) Counselor in Ventnor City, New Jersey
NPI 1851808802

Ian Koch is an Addiction (Substance Use Disorder) Counselor based in Somers Point, NJ and is specialized in Addiction (Substance Use Disorder). Ian Koch practices in Ventnor City, NJ and has the professional credentials of MS,LCADC,CAS. The NPI Number for Ian Koch is 1851808802 and holds a License No. 37LC00214900 (New Jersey).

The current practice location address for Ian Koch is 3 S Weymouth Ave Unit G, Ventnor City, NJ and can be reached out via phone at 609-709-0245.

Location: 3 S Weymouth Ave Unit G, Ventnor City, NJ, 08244-1613
person
Provider Profile Details
NPI Number
1851808802
Provider Name
Ian Koch
Credential
MS,LCADC,CAS
Provider Entity Type
Individual
Gender
Male
Address
3 S Weymouth Ave Unit G, Ventnor City, NJ, 08244-1613
Phone Number
609-709-0245
Fax Number
Provider Enumeration Date
12/29/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 S Weymouth Ave Unit G
City
State
Zip
08406-2980
Phone Number
609-709-0245
Fax Number
person
Provider Business Mailing Address Details
Address
3 S Weymouth Ave Unit G
City
State
Zip
08406-2980
Phone Number
609-709-0245
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37LC00214900 (New Jersey)
Definition
Definition to come...
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