Search › Missouri › Addiction (Substance Use Disorder) Counselor
Zackery Koch, BA, MAADAC-I
NPI 1346895976 · on the registry since 2019 · sole proprietor
Practice
- Address
- 302 W Jackson St
Bolivar, MO 65613 - Phone
- (417) 410-7474
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri