| Zackery Koch, BA, MAADAC-I | |
|
302 W Jackson St, Bolivar, MO 65613-1931 | |
| (417) 410-7474 | |
| Not Available |
| Full Name | Zackery Koch |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 302 W Jackson St, Bolivar, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346895976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11936 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Zackery Koch, BA, MAADAC-I 302 W Jackson St, Bolivar, MO 65613-1931 Ph: (417) 410-7474 | Zackery Koch, BA, MAADAC-I 302 W Jackson St, Bolivar, MO 65613-1931 Ph: (417) 410-7474 |
Nicole Marie Twenter, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1195 N Oakland Ave, Bolivar, MO 65613 Phone: 660-621-4451 | |
Kelley White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 W Jackson St, B, Bolivar, MO 65613 Phone: 417-777-1458 | |
Ms. Pamela Wharton, LPC Counselor Medicare: Medicare Enrolled Practice Location: 315 S Main Ave, Bolivar, MO 65613 Phone: 417-326-2902 Fax: 417-326-4555 | |
Ms. Misty Ann Divin, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 S Main Ave, Bolivar, MO 65613 Phone: 417-326-2902 Fax: 417-326-4555 | |
Angel Haun, MAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Jackson St, Bolivar, MO 65613 Phone: 417-619-1595 | |
Heather Nicole Harrison, EDUCATION BACHELORS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3376 S Springfield Ave, Bolivar, MO 65613 Phone: 417-777-6980 |