Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY NICHOLS
Active Sole ProprietorJODY NICHOLS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in VIDALIA, Louisiana. NPI 1679124739 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · VIDALIA, LA
Registration Details
- NPI Number
- 1679124739
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2019 (6.9468328225192 yrs)
- Last Updated
- Feb 4, 2021
- License
-
CIT-5033 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
806 CARTER STVIDALIA, LA, 713733206Browse LA providers · Browse ZIP 71373
- Phone
- 3187340034
- Fax
- 6014935898
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in VIDALIA, LA
| Name | Credential | NPI |
|---|---|---|
| MS. SARAH DELAUGHTER | CIT | 1912680646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.