Individual
JORDAN THAYER MEGRATTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1132 TIMBER PL SE, CONCORD, NC 28025-7795
(802) 793-2527
Mailing address
1132 TIMBER PL SE, CONCORD, NC 28025-7795
(802) 793-2527
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31419
NC
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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