Nichols, Jean Marie

Nichols, Jean Marie is an individual health care provider with primary practice located at 2650 Koos Bay Blvd , Coos Bay OR 97420-2579. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Nichols, Jean Marie can be contacted via phone (541) 294-7001.

Contact Information

Primary practice address
2650 Koos Bay Blvd Coos Bay OR 97420-2579
Phone: (541) 294-7001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 23-CRM-II-0086 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon

Profile Details

NPI number 1780041210
LBN Legal business name Nichols, Jean Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2016
Last updated Jun 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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