Individual
CHARLES INGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
84 MAIN ST, HACKENSACK, NJ 07601-7143
(201) 487-4700
(201) 487-4787
Mailing address
155 EASEDALE RD, WAYNE, NJ 07470-2488
(201) 362-7606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00078000
NJ
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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