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ZACKERY KOCH BA, MAADAC-I
NPI 1346895976
Counselor - Addiction (Substance Use Disorder) in Bolivar, MO

Active since August 09, 2019
302 W JACKSON ST, BOLIVAR, MO 65613(417) 410-7474 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zackery Koch Ba, Maadac-i NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACKERY KOCH BA, MAADAC-I (NPI 1346895976) is an individual addiction (substance use disorder) provider in Bolivar, Missouri, licensed in Missouri (11936) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1346895976
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameZACKERY KOCHCredential: BA, MAADAC-I
Location Address302 W JACKSON STBolivar, MO 65613-1931
Mailing Address302 W Jackson StBolivar, MO 65613-1931 · (417) 410-7474
Phone(417) 410-7474
Sole ProprietorYes
Enumeration DateAugust 9, 2019
✔ NPI 1346895976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MO · 11936
302 W JACKSON ST, Bolivar, MO 65613
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL HAUN MAADC
Counselor (Addiction (Substance Use Disorder))
302 W JACKSON ST
BOLIVAR, MO 65613
Polk County (417) 619-1595
GRACE EMILY TOMLINSON LCSW
Social Worker (Clinical)
302 W JACKSON ST
BOLIVAR, MO 65613
Polk County (417) 619-1595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zackery Koch's NPI number?

The NPI number for Zackery Koch is 1346895976. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Zackery Koch located?

Zackery Koch practices at 302 W Jackson St, Bolivar, MO 65613. The listed phone number is (417) 410-7474.

What is Zackery Koch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Zackery Koch was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.