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Individual

BRIANNA LONGWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, BCBA/LBA

Contact information

Practice address
103 E HOLLY ST STE 202, BELLINGHAM, WA 98225-4728
(360) 927-9556
Mailing address
233 THOMPSON RD, SEDRO WOOLLEY, WA 98284-9515
(206) 276-8670

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60889173
WA
103K00000X
Behavior Analyst
BA60916078
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BA60916078
LICENSED BEHAVIOR ANALYST
WA
01
LH60889173
MENTAL HEATH COUNSELOR
WA
Enumeration date
02/22/2017
Last updated
01/27/2020
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