Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jody Nichols

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679124739

Jody Nichols is an Addiction (Substance Use Disorder) Counselor in Vidalia, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2019

Practice location Address checks out

806 Carter St
Vidalia, LA 71373-3206
Phone: (318) 734-0034
Fax: (601) 493-5898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CIT-5033 (LA)

Record details

NPI number1679124739
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 20, 2019
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address806 Carter St, Vidalia, LA 71373-3206

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