Tiffany Ann Bascom, LPC is a mental health counselor in Pocatello, ID. Tiffany Ann Bascom, LPC NPI is 1487701058. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
500 S 11TH AVE
SUITE 302
POCATELLO, ID
ZIP 83201-835
Phone: (208) 233-0150
Fax: (208) 233-0159
The enumeration date for this NPI number is 1/4/2007 and was last updated on 7/8/2007.