Individual
ZACHERY MICHAEL HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1236 5TH AVE, HUNTINGTON, WV 25701-2207
(681) 204-5400
(681) 378-6108
Mailing address
1236 5TH AVE, HUNTINGTON, WV 25701-2207
(681) 204-5400
(681) 378-6108
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
WV
175T00000X
Peer Specialist
Primary
25-9151SUD
WV
Other
Enumeration date
10/03/2025
Last updated
04/28/2026
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