Individual provider · Type 1 NPI

Charles Portales

Addiction (Substance Use Disorder) Counselor · Hesperia, CA

NPI number 1124903539 Active

Practice location

11776 Mariposa Rd
Hesperia, CA 92345-1622

Call (760) 956-2462 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1614080525 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124903539

Charles Portales's National Provider Identifier is 1124903539, issued on Aug 6, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hesperia, CA. The record was last updated on Aug 8, 2025.