Tina M Overstreet, SUDP

NPI #1063854107 in Moscow, Idaho

Provider Information

NPI Number
1063854107
Entity Type
Individual
Name
Tina M Overstreet, SUDP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
SUDP
Enumeration Date
Jul 17, 2013
Last Updated
Apr 15, 2022

Practice Location

Address
803 S MAIN ST STE 120
City
Moscow
State
Idaho
ZIP Code
83843-2695
Phone
(509) 444-8200

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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