Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACKERY KOCH, BA, MAADAC-I
Active Sole ProprietorZACKERY KOCH, BA, MAADAC-I is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BOLIVAR, Missouri. NPI 1346895976 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BOLIVAR, MO
Registration Details
- NPI Number
- 1346895976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2019 (7.0591129108688 yrs)
- Last Updated
- Aug 9, 2019
- License
-
11936 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
302 W JACKSON STBOLIVAR, MO, 656131931Browse MO providers · Browse ZIP 65613
- Phone
- 4174107474
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BOLIVAR, MO
| Name | Credential | NPI |
|---|---|---|
| ANGEL HAUN | MAADC | 1124665963 |
| STEPHANIE HIGGINBOTHAM | — | 1497616130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.