DONNIE WAYNE HARDAWAY

OAKLAND, CA
NPI1790966281
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-11-26
Last Update Date2007-11-26
Business Address
Mr. DONNIE WAYNE HARDAWAY
7105 FAVOR ST APT C
OAKLAND, CA 94621-3155
Phone number: 510-784-5889
Mailing Address
Mr. DONNIE WAYNE HARDAWAY
7105 FAVOR ST APT C
OAKLAND, CA 94621-3155
Phone number: 510-784-5889