Individual
JOSHUA STEVEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1612 PENNY LANE, WALLA WALLA, WA 99362-4477
(509) 529-2130
(509) 527-0403
Mailing address
1612 PENNY LANE, WALLA WALLA, WA 99362-4477
(509) 529-2130
(509) 527-0403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH 60272496
WA
106H00000X
Marriage & Family Therapist
Primary
LH 60272496
WA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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