Individual
CHAD LONGAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED. LMHC
Contact information
Practice address
1409 N PITTSBURG ST STE C, KENNEWICK, WA 99336-8213
(509) 581-8875
Mailing address
218 S PERRY PL, KENNEWICK, WA 99336-4209
(509) 987-4229
(509) 357-8175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
60505492
WA
101YM0800X
Mental Health Counselor
Primary
60645976
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066794
—
WA
Enumeration date
07/17/2015
Last updated
05/04/2017
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