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

Mary Nichols

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396594354

Mary Nichols is an Addiction (Substance Use Disorder) Counselor in Waverly, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12319 State Route 104 Apt B
Waverly, OH 45690-8605
Phone: (740) 912-6264
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

Record details

NPI number1396594354
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2024
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing address12319 State Route 104 Apt B, Waverly, OH 45690-8605

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