Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bobby Leon Pascoe Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1295515898

Mr. Bobby Leon Pascoe Jr. is an Addiction (Substance Use Disorder) Counselor in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023

Practice location Address checks out

1706 G St
Lewiston, ID 83501-2021
Phone: (208) 751-0478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LPC-9755 (ID)

Record details

NPI number1295515898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address155 2nd Ave N, Twin Falls, ID 83301-6162

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