person
Tiffanie Diane Long, LCPC
Mental Health Counselor in Pocatello, Idaho
NPI 1205489234

Tiffanie Diane Long is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Tiffanie Diane Long practices in Pocatello, ID and has the professional credentials of LCPC. The NPI Number for Tiffanie Diane Long is 1205489234 and holds a License No. LCPC-8664 (Idaho).

The current practice location address for Tiffanie Diane Long is 13932 Coyote Gulch, Pocatello, ID and can be reached out via phone at 208-410-0100.

Location: 13932 Coyote Gulch, Pocatello, ID, 83202-5195
person
Provider Profile Details
NPI Number
1205489234
Provider Name
Tiffanie Diane Long
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
13932 Coyote Gulch, Pocatello, ID, 83202-5195
Phone Number
208-410-0100
Fax Number
Provider Enumeration Date
07/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13932 Coyote Gulch
City
State
Zip
83202-5195
Phone Number
208-410-0100
Fax Number
person
Provider Business Mailing Address Details
Address
13932 Coyote Gulch
City
State
Zip
83202-5195
Phone Number
208-410-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-8664 ()
Definition
Definition to come...
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