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

Tiffanie Diane Long, LCPC

Individual provider Mental Health Counselor · NPI 1205489234

Tiffanie Diane Long, LCPC is a Mental Health Counselor in Pocatello, Idaho. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

13932 Coyote Gulch
Pocatello, ID 83202-5195
Phone: (208) 410-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-8664

Record details

NPI number1205489234
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedJuly 18, 2019
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

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