Jerry Timothy Elmore, LCAS-A
NPI #1417386566 in Gastonia, North Carolina
Provider Information
- NPI Number
- 1417386566
- Entity Type
- Individual
- Name
- Jerry Timothy Elmore, LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Credential
- LCAS-A
- Enumeration Date
- Nov 8, 2013
- Last Updated
- Nov 8, 2013
Practice Location
- Address
- 2505 COURT DR
- City
- Gastonia
- State
- North Carolina
- ZIP Code
- 28054-2140
- Phone
- (704) 884-2060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Community/Behavioral Health |
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