Individual
CHARLES HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 SCHOONER DR, HENDERSON, NV 89015-5660
(949) 648-7475
Mailing address
265 S ANITA DR, ORANGE, CA 92868-3355
(949) 749-2604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII059850521
CA
Other
Enumeration date
11/13/2020
Last updated
04/09/2026
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