Individual
KARLA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 VAN WICKLE DR, FRANKLIN PARK, NJ 08823-2609
(804) 564-8460
Mailing address
1712 VAN WICKLE DR, FRANKLIN PARK, NJ 08823-2609
(804) 564-8460
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701008829
VA
101YP2500X
Professional Counselor
Primary
37PC00741700
NJ
Other
Enumeration date
02/12/2020
Last updated
04/10/2023
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