Individual
CHARLES HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CATC III
Contact information
Practice address
14515 HAMLIN ST STE 100, VAN NUYS, CA 91411-1694
(818) 378-0562
Mailing address
16650 SHERMAN WAY, VAN NUYS, CA 91406-3782
(818) 917-8673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
208641
CA
Other
Enumeration date
10/29/2018
Last updated
03/27/2025
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