person
Mr. Bobby Leon Pascoe JR.
Addiction (Substance Use Disorder) Counselor in Lewiston, Idaho
NPI 1295515898

Bobby Leon Pascoe JR. is an Addiction (Substance Use Disorder) Counselor based in Twin Falls, ID and is specialized in Addiction (Substance Use Disorder). Bobby Leon Pascoe JR. practices in Lewiston, ID. The NPI Number for Bobby Leon Pascoe JR. is 1295515898 and holds a License No. LPC-9755 (Idaho).

The current practice location address for Bobby Leon Pascoe JR. is 1706 G St, Lewiston, ID and can be reached out via phone at 208-751-0478.

Location: 1706 G St, Lewiston, ID, 83301-6162
person
Provider Profile Details
NPI Number
1295515898
Provider Name
Bobby Leon Pascoe JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1706 G St, Lewiston, ID, 83301-6162
Phone Number
208-751-0478
Fax Number
Provider Enumeration Date
10/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1706 G St
City
State
Zip
83501-2021
Phone Number
208-751-0478
Fax Number
person
Provider Business Mailing Address Details
Address
1706 G St
City
State
Zip
83501-2021
Phone Number
208-751-0478
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC-9755 (Idaho)
Definition
Definition to come...
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