| Ian Koch, MS, LCADC, CAS | |
|
3 S Weymouth Ave Unit G, Ventnor City, NJ 08406-2980 | |
| (609) 709-0245 | |
| Not Available |
| Full Name | Ian Koch |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3 S Weymouth Ave Unit G, Ventnor City, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851808802 | NPI | - | NPPES |
| 0 | Other | OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00214900 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Koch, MS, LCADC, CAS 3 Edgewood Dr, Somers Point, NJ 08244-1613 Ph: () - | Ian Koch, MS, LCADC, CAS 3 S Weymouth Ave Unit G, Ventnor City, NJ 08406-2980 Ph: (609) 709-0245 |
Ms. Erica Lee Lapid, MS, LPC, LCADC, NCCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6510 Ventnor Ave, Ventnor City, NJ 08406 Phone: 609-709-0244 | |
Rosalyn Snyder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5405 Edgewater Ave, Ventnor City, NJ 08406 Phone: 609-822-9506 Fax: 609-822-9506 |