IAN KOCH

VENTNOR CITY, NJ
NPI1851808802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00214900)
Enumeration Date2017-12-29
Last Update Date2017-12-29
Business Address
IAN KOCH MS, LCADC, CAS
3 S WEYMOUTH AVE UNIT G
VENTNOR CITY, NJ 08406-2980
Phone number: 609-709-0245
Mailing Address
IAN KOCH MS, LCADC, CAS
3 EDGEWOOD DR
SOMERS POINT, NJ 08244-1613
Phone number:
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