Individual
BRENDA LYNN FOWLER-LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER COUNSELOR
Contact information
Practice address
4238 AUBURN WAY N, AUBURN, WA 98002-1311
(253) 876-7600
Mailing address
4238 AUBURN WAY N, AUBURN, WA 98002-1311
(206) 423-9547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60445005
WA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/27/2018
Last updated
06/07/2023
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