MR. Jack L Ellerbe JR., MSW, LCAS

NPI #1073185245 in Gold Hill, North Carolina

Provider Information

NPI Number: 1073185245
Entity Type: Individual
Name: MR. Jack L Ellerbe JR., MSW, LCAS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: MSW, LCAS
Enumeration Date: Jul 15, 2021
Last Updated: Feb 9, 2024

Practice Location

Address: 665 TIMBER TRL
City: Gold Hill
State: North Carolina
ZIP Code: 28071-7500
Phone: (704) 279-1199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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