MRS. JEAN NICHOLS
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1780041210
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | No | 23-CRM-II-0086 (OR) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Counselor - Mental Health | 101YM0800X | No | - |
Frequently Asked Questions
NPI 1780041210 is the National Provider Identifier for MRS. JEAN NICHOLS, a Counselor - Addiction (Substance Use Disorder) provider located in Coos Bay, OR. This NPI was enumerated on January 28, 2016.
MRS. JEAN NICHOLS practices at 2650 KOOS BAY BLVD, Coos Bay, OR 97420.
Quick Facts
- NPI
- 1780041210
- Type
- Individual
- Enumerated
- Jan 28, 2016
- Last Updated
- Jun 22, 2023
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