Provider Demographics
NPI:1497594808
Name:JOURDAN, MEGAN CLAIRE
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:CLAIRE
Last Name:JOURDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10918 MOLLER DR NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-7517
Mailing Address - Country:US
Mailing Address - Phone:601-831-1034
Mailing Address - Fax:
Practice Address - Street 1:10918 MOLLER DR NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-7517
Practice Address - Country:US
Practice Address - Phone:601-831-1034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health