Individual provider · Type 1 NPI
Jack L. Ellerbe Jr., MSW, LCAS
Addiction (Substance Use Disorder) Counselor · Gold Hill, NC
NPI number
1073185245
Active
Practice location
665 Timber Trl
Gold Hill, NC 28071-7500
Fax (704) 279-7668
Mailing address
PO Box 259
Gold Hill, NC 28071-0259
Other practice locations
- 106 W Dallas Rd, Stanley, NC 28164-2103 · (980) 416-3025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1073185245
Jack L. Ellerbe Jr., MSW, LCAS's National Provider Identifier is 1073185245, issued on Jul 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gold Hill, NC. The record was last updated on Feb 9, 2024.