Individual
MRS. MAGARETTE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
180 TICES LN STE 202, EAST BRUNSWICK, NJ 08816-1345
(732) 354-0050
(732) 325-0334
Mailing address
170 HORIZON DR, EDISON, NJ 08817-5838
(973) 444-0658
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00214700
NJ
101YP2500X
Professional Counselor
Primary
37PC00963500
NJ
Other
Enumeration date
08/16/2020
Last updated
09/02/2023
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