Individual
MR. CHARLES HARLAN WUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
608 BLANCHARD PKWY, ALLENHURST, NJ 07711-1304
(732) 517-1051
Mailing address
608 BLANCHARD PKWY, ALLENHURST, NJ 07711-1304
(732) 517-1051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
44SC01378600
NJ
Other
Enumeration date
05/16/2007
Last updated
09/11/2025
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