Individual provider · Type 1 NPI
Jody Nichols
Addiction (Substance Use Disorder) Counselor · Vidalia, LA
NPI number
1679124739
Active
Practice location
806 Carter St
Vidalia, LA 71373-3206
Fax (601) 493-5898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CIT-5033 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Vidalia
About NPI 1679124739
Jody Nichols's National Provider Identifier is 1679124739, issued on Sep 20, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vidalia, LA. The record was last updated on Feb 4, 2021.