Individual
MELTON STONEWALL ELLERBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
139 PINEHURST AVE STE A, SOUTHERN PINES, NC 28387-7099
(910) 725-1246
(803) 693-0829
Mailing address
136 FULLERS WAY, ABERDEEN, NC 28315-4155
(910) 331-2685
(803) 693-0829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
07/07/2023
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