person
Gina L Osterloth, BA,CADC
Addiction (Substance Use Disorder) Counselor in Payette, Idaho
NPI 1538714795

Gina L Osterloth is an Addiction (Substance Use Disorder) Counselor based in Payette, ID and is specialized in Addiction (Substance Use Disorder). Gina L Osterloth practices in Payette, ID and has the professional credentials of BA,CADC. The NPI Number for Gina L Osterloth is 1538714795 and holds a License No. 11675 (Idaho).

The current practice location address for Gina L Osterloth is 540 S 16Th St, Payette, ID and can be reached out via phone at 208-297-8889 and via fax at 208-485-9475.

Location: 540 S 16Th St, Payette, ID, 83661-3514
person
Provider Profile Details
NPI Number
1538714795
Provider Name
Gina L Osterloth
Credential
BA,CADC
Provider Entity Type
Individual
Gender
Female
Address
540 S 16Th St, Payette, ID, 83661-3514
Phone Number
208-297-8889
Fax Number
208-485-9475
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
540 S 16Th St
City
State
Zip
83661-3513
Phone Number
208-297-8889
Fax Number
208-485-9475
person
Provider Business Mailing Address Details
Address
540 S 16Th St
City
State
Zip
83661-3513
Phone Number
208-297-8889
Fax Number
208-485-9475
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11675 (Idaho)
Definition
Definition to come...
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