Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zackery Koch, BA, MAADAC-I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1346895976

Zackery Koch, BA, MAADAC-I is an Addiction (Substance Use Disorder) Counselor in Bolivar, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

302 W Jackson St
Bolivar, MO 65613-1931
Phone: (417) 410-7474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11936 (MO)

Record details

NPI number1346895976
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , MAADAC-I
Sole proprietorYes
NPI enumeratedAugust 9, 2019
Last updated in NPPESAugust 9, 2019

Other providers in Bolivar