Individual
JUNE S LONGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 789-2000
(425) 789-2096
Mailing address
400 EAST SHERIDAN RD, MELBOURNE, FL 32901-3122
(321) 722-5200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200550164NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007684
WA
Other
Enumeration date
09/13/2005
Last updated
07/25/2023
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