Individual
JOHN ZACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
302 WEST PONDEROSA DRIVE, WHITERIVER, AZ 85941-1790
(928) 338-2621
(928) 338-4100
Mailing address
PO BOX 1790, 302 WEST PONDEROSA DRIVE, WHITERIVER, AZ 85941-1790
(928) 338-2621
(928) 338-4100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10818
AZ
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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