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TIFFANY BASCOM, LCPC
LCPC
Mental Health Counselor
NPI: 1487701058IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
LCPC-3801(ID)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2003
Contact & Hours
Via practice · 2 locations total
- Address
- 2520 S 5TH AVE
POCATELLO, ID 83204 - Phone
- (208) 233-5433
Quick Facts
- NPI
- 1487701058
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 23
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