Individual provider · Type 1 NPI

Melton Stonewall Ellerbe, LCAS

Addiction (Substance Use Disorder) Counselor · Southern Pines, NC

NPI number 1962699033 Active

Practice location

139 Pinehurst Ave Ste A
Southern Pines, NC 28387-7099

Fax (803) 693-0829

Mailing address

136 Fullers Way
Aberdeen, NC 28315-4155

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962699033

Melton Stonewall Ellerbe, LCAS's National Provider Identifier is 1962699033, issued on Oct 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Southern Pines, NC. The record was last updated on Jul 7, 2023.