Individual
MS. DIANE ELIZABETH MARR LONGMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMHC
Contact information
Practice address
811 CLEVELAND AVE STE 104, MOUNT VERNON, WA 98273-4210
(360) 474-3072
(888) 538-7694
Mailing address
811 CLEVELAND AVE STE 104, MOUNT VERNON, WA 98273-4210
(360) 474-3072
(888) 538-7694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60266648
WA
104100000X
Social Worker
CG 60122469
WA
Other
Enumeration date
02/17/2011
Last updated
03/21/2023
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