IndividualActive
Breah Nichols, LCDC III
NPI 1073014882 · Addiction (Substance Use Disorder) Counselor · Jackson, OH
Provider details
- NPI number
- 1073014882
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCDC III
- Sex
- Female
- Sole proprietor
- No
- License
- 165237 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
120 Twin Oaks Dr
Jackson, OH 45640-9828
Phone: (740) 577-3450
Fax: (740) 577-3496
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 724
Athens, OH 45701-0724
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.