IndividualActive
Jean Nichols
NPI 1780041210 · Addiction (Substance Use Disorder) Counselor · Coos Bay, OR
Provider details
- NPI number
- 1780041210
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 23-CRM-II-0086 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
2650 Koos Bay Blvd
Coos Bay, OR 97420-2579
Phone: (541) 294-7001
Approximate (ZIP-level) locationGet directions
Mailing address
1610 Johnson St
North Bend, OR 97459-1936
Registry dates
- Enumerated
- 2016-01-28
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.