Individual
JORDON WAYNE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 CREEKVIEW CT, MARION, NC 28752-6519
(843) 287-2650
Mailing address
686 LYTLE MOUNTAIN RD, MARION, NC 28752-8482
(843) 287-2650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A22294
NC
Other
Enumeration date
11/17/2021
Last updated
12/03/2025
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