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Mr. Donnie Wayne Hardaway
Addiction (Substance Use Disorder) Counselor in Oakland, California
NPI 1790966281

Donnie Wayne Hardaway is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Donnie Wayne Hardaway practices in Oakland, CA. The NPI Number for Donnie Wayne Hardaway is 1790966281 and holds a License No. (California).

The current practice location address for Donnie Wayne Hardaway is 7105 Favor St, Oakland, CA and can be reached out via phone at 510-784-5889 and via fax at 510-784-9194.

Location: 7105 Favor St, Oakland, CA, 94621-3155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790966281
Provider Name
Donnie Wayne Hardaway
Credential
Provider Entity Type
Individual
Gender
Male
Address
7105 Favor St, Oakland, CA, 94621-3155
Phone Number
510-784-5889
Fax Number
510-784-9194
Provider Enumeration Date
11/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7105 Favor St
City
Oakland
State
California
Zip
94621-3155
Phone Number
510-784-5889
Fax Number
510-784-9194
person
Provider Business Mailing Address Details
Address
7105 Favor St
City
Oakland
State
California
Zip
94621-3155
Phone Number
510-784-5889
Fax Number
510-784-9194
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
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