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Brenda Lynn Fowler-Longoria, Peer Counselor

Counselor in Auburn, WA. Individual provider (NPI-1).

NPI number1043780596
StatusActive
Last updated in NPPESJun 7, 2023

Details

NPI
1043780596
Entity type
Individual (NPI-1)
Name
Brenda Lynn Fowler-Longoria
Credential
Peer Counselor
Sex
Female
Sole proprietor
No
Enumeration date
Nov 27, 2018
Certification date
Jun 7, 2023
Last updated
Jun 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X CounselorCG60445005WAYes
175T00000X Peer Specialist––

Practice location

4238 Auburn Way N
Auburn, WA 98002-1311

Phone 253-876-7600

Mailing address

4238 Auburn Way N
Auburn, WA 98002-1311

Phone 206-423-9547

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