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Mrs. Jean Marie Nichols
Mental Health Counselor in Coos Bay, Oregon
NPI 1780041210

Jean Marie Nichols is a Mental Health Counselor based in North Bend, OR and is specialized in Mental Health. Jean Marie Nichols practices in Coos Bay, OR. The NPI Number for Jean Marie Nichols is 1780041210 and holds a License No. 23-CRM-II-0086 (Oregon).

The current practice location address for Jean Marie Nichols is 2650 Koos Bay Blvd, Coos Bay, OR and can be reached out via phone at 541-294-7001. You can also correspond with Jean Marie Nichols through the mailing address at 1610 JOHNSON ST, NORTH BEND, OR - 97459-1936 (mailing address contact number: 541-217-1514).

Location: 2650 Koos Bay Blvd, Coos Bay, OR, 97459-1936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780041210
Provider Name
Jean Marie Nichols
Credential
Provider Entity Type
Individual
Gender
Female
Address
2650 Koos Bay Blvd, Coos Bay, OR, 97459-1936
Phone Number
541-294-7001
Fax Number
Provider Enumeration Date
01/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2650 Koos Bay Blvd
City
Coos Bay
State
Oregon
Zip
97420-2579
Phone Number
541-294-7001
Fax Number
person
Provider Business Mailing Address Details
Address
1610 Johnson St
City
North Bend
State
Oregon
Zip
97459-1936
Phone Number
541-217-1514
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
23-CRM-II-0086 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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