Gina L Osterloth, BA, CADC

NPI #1538714795 in Payette, Idaho

Provider Information

NPI Number: 1538714795
Entity Type: Individual
Name: Gina L Osterloth, BA, CADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: BA, CADC
Enumeration Date: Aug 5, 2019
Last Updated: Aug 5, 2019

Practice Location

Address: 540 S 16TH ST
City: Payette
State: Idaho
ZIP Code: 83661-3513
Phone: (208) 297-8889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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