Individual provider · Type 1 NPI

Breah N. Nichols, LCDC III

Addiction (Substance Use Disorder) Counselor · Jackson, OH

NPI number 1073014882 Active

Practice location

120 Twin Oaks Dr
Jackson, OH 45640-9828

Call (740) 577-3450 Map

Fax (740) 577-3496

Mailing address

PO Box 724
Athens, OH 45701-0724

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X165237 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073014882

Breah N. Nichols, LCDC III's National Provider Identifier is 1073014882, issued on Feb 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, OH. The record was last updated on Nov 24, 2025.