Individual ProviderDaniel LonghornCounselorBehavioral Health & Social Service ProvidersPractice Address3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968(509) 735-6446PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Longhorn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1295472777Provider TypeIndividualFull NameLonghorn, DanielGenderMaleSole ProprietorNoEnumeration Date5/17/2022Last Updated5/17/2022Contact InformationPractice LocationPractice Address3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968Phone(509) 735-6446FaxUnlisted FaxMailing LocationMailing Address3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode175T00000XDescriptionPeer SpecialistOther Service ProvidersLicenseUnlisted Issuer