Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK L ELLERBE JR., MSW, LCAS
Active Sole ProprietorMR. JACK L ELLERBE JR., MSW, LCAS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GOLD HILL, North Carolina. NPI 1073185245 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GOLD HILL, NC
Registration Details
- NPI Number
- 1073185245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2021 (5.0580903897587 yrs)
- Last Updated
- Feb 9, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
665 TIMBER TRLGOLD HILL, NC, 280717500Browse NC providers · Browse ZIP 28071
- Phone
- 7042791199
- Fax
- 7042797668
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.