Individual
MR. CHARLES MARLIN WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW LCADC
Contact information
Practice address
567 PARK AVENUE, SUITE 203, SCOTCH PLAINS, NJ 07076-1754
(908) 322-0112
(908) 789-0230
Mailing address
567 PARK AVENUE, SUITE 203, SCOTCH PLAINS, NJ 07076-1754
(908) 322-0112
(908) 789-0230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00073100
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04406400
NJ
Other
Enumeration date
05/18/2010
Last updated
06/03/2010
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