Individual provider · Type 1 NPI

Tiffany Ann Bascom, LCPC

Mental Health Counselor · Pocatello, ID

NPI number 1487701058 Active

Practice location

2520 S 5th Ave
Pocatello, ID 83204-1923

Call (208) 233-5433 Map

Other practice locations

  • 500 S 11th Ave, Suite 302, Pocatello, ID 83201-4835 · (208) 233-0150

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC-3801 (ID)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1487701058

Tiffany Ann Bascom, LCPC's National Provider Identifier is 1487701058, issued on Jan 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Dec 18, 2023.