SearchIdaho101YM0800X

Tiffanie Long, LCPC

NPI 1205489234 · on the registry since 2019 · sole proprietor

Practice

Address
13932 Coyote Gulch
Pocatello, ID 83202
Phone
(208) 410-0100

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2023-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho