Provider Demographics
NPI:1790305407
Name:FURLONG, RHONDA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:FURLONG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:BROUILLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:6204 204TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6011
Mailing Address - Country:US
Mailing Address - Phone:206-779-3834
Mailing Address - Fax:
Practice Address - Street 1:7907 212TH ST SW STE 220
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7541
Practice Address - Country:US
Practice Address - Phone:206-779-3834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004356101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health