Individual
MRS. BARBARA JEAN BRANDHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, SUDP
Contact information
Practice address
1157 3RD AVE STE 100, LONGVIEW, WA 98632-6007
(360) 261-9169
Mailing address
1157 3RD AVE STE 100, LONGVIEW, WA 98632-6007
(360) 261-9169
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00001675
WA
101YM0800X
Mental Health Counselor
LW60815976
WA
1041C0700X
Clinical Social Worker
Primary
LW60815976
WA
Other
Enumeration date
04/10/2007
Last updated
11/18/2022
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