Individual provider · Type 1 NPI
Tiffanie Diane Long, LCPC
Mental Health Counselor · Pocatello, ID
NPI number
1205489234
Active
Practice location
13932 Coyote Gulch
Pocatello, ID 83202-5195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCPC-8664 |
Mental Health Counselor: Definition to come...
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About NPI 1205489234
Tiffanie Diane Long, LCPC's National Provider Identifier is 1205489234, issued on Jul 18, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Jul 6, 2023.