ELYJAH JONATHAN M FRITZ-RAFAEL

PORTLAND, OR
NPI1225742182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  25-02-11404)
Enumeration Date2023-01-05
Last Update Date2025-03-12
Business Address
ELYJAH JONATHAN M FRITZ-RAFAEL PSS, CRM II, CADC-I
3231 SE 50TH AVE
PORTLAND, OR 97206-2248
Phone number: 503-238-5203
Mailing Address
ELYJAH JONATHAN M FRITZ-RAFAEL PSS, CRM II, CADC-I
3231 SE 50TH AVE
PORTLAND, OR 97206-2248
Phone number: 503-238-5203