Individual
BRANDEE LONGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 BREVARD AVE STE 106, COCOA, FL 32922-7973
(321) 632-5792
Mailing address
505 BREVARD AVE STE 106, COCOA, FL 32922-7973
(786) 213-3113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH21743
FL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/13/2017
Last updated
05/09/2023
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