JONTAE MALIK HARDAWAY

PORTLAND, OR
NPI1891627659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R12434)
Enumeration Date2026-06-03
Last Update Date2026-06-03
Business Address
JONTAE MALIK HARDAWAY
4850 SE WOODSTOCK BLVD APT 541
PORTLAND, OR 97206-6143
Phone number: 503-701-7079
Mailing Address
JONTAE MALIK HARDAWAY
4850 SE WOODSTOCK BLVD APT 541
PORTLAND, OR 97206-6143
Phone number: 503-701-7079
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