Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerry Timothy Elmore, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417386566

Jerry Timothy Elmore, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Gastonia, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

2505 Court Dr
Gastonia, NC 28054-2140
Phone: (704) 884-2060
Fax: (704) 854-4860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3527A (NC)

Record details

NPI number1417386566
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A
Sole proprietorYes
NPI enumeratedNovember 8, 2013
Last updated in NPPESNovember 8, 2013

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