IndividualActive
Bobby Pascoe
NPI 1295515898 · Addiction (Substance Use Disorder) Counselor · Lewiston, ID
Provider details
- NPI number
- 1295515898
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- LPC-9755 (ID)
Mailing address
155 2nd Ave N
Twin Falls, ID 83301-6162
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2023-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.