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Individual

CHARLES WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, CAADC

Contact information

Practice address
1262 WOOD LN STE 102, LANGHORNE, PA 19047-4250
(267) 358-5150
(267) 298-5901
Mailing address
1262 WOOD LN STE 102, LANGHORNE, PA 19047-4250
(267) 358-5150
(267) 298-5901

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13896
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13896
PENNSYLVANIA CERTIFICATION BOARD
PA
Enumeration date
06/25/2019
Last updated
07/23/2019
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