Individual provider · Type 1 NPI
Jean Marie Nichols
Addiction (Substance Use Disorder) Counselor · Coos Bay, OR
NPI number
1780041210
Active
Practice location
2650 Koos Bay Blvd
Coos Bay, OR 97420-2579
Mailing address
1610 Johnson St
North Bend, OR 97459-1936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | 23-CRM-II-0086 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1780041210
Jean Marie Nichols's National Provider Identifier is 1780041210, issued on Jan 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coos Bay, OR. The record was last updated on Jun 22, 2023.