JODY NICHOLS

VIDALIA, LA
NPI1679124739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CIT-5033)
Enumeration Date2019-09-20
Last Update Date2021-02-04
Business Address
JODY NICHOLS
806 CARTER ST
VIDALIA, LA 71373-3206
Phone number: 318-734-0034
Mailing Address
JODY NICHOLS
806 CARTER ST
VIDALIA, LA 71373-3206
Phone number: 318-734-0034
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