TIFFANY BASCOM, LCPC

Counselor - Mental Health

Active Individual
NPI: 1487701058

Practice Address

2520 S 5TH AVE
Pocatello, ID 83204

Phone: (208) 233-5433

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes LCPC-3801 (ID)

Frequently Asked Questions

NPI 1487701058 is the National Provider Identifier for TIFFANY BASCOM, LCPC, a Counselor - Mental Health provider located in Pocatello, ID. This NPI was enumerated on January 4, 2007.
TIFFANY BASCOM, LCPC practices at 2520 S 5TH AVE, Pocatello, ID 83204.

Quick Facts

NPI
1487701058
Type
Individual
Enumerated
Jan 4, 2007
Last Updated
Dec 18, 2023

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