Individual
RALPH GORDON MEACHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV, CSAC
Contact information
Practice address
10348 PARK RD, CHARLOTTE, NC 28210-8507
(704) 288-1097
Mailing address
9918 BARRANDS LN, CHARLOTTE, NC 28278-8030
(336) 588-5513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-15131
NC
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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