Search › Idaho › 101YM0800X
Tiffany Bascom, LCPC
NPI 1487701058 · on the registry since 2007
Practice
- Address
- 2520 S 5th Ave
Pocatello, ID 83204 - Phone
- (208) 233-5433
- Organisation at this address
- Proactive Living, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 500 S 11th Ave, Pocatello, ID
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-18
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