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Gina Osterloth, BA, CADC

NPI 1538714795 · on the registry since 2019 · sole proprietor

Practice

Address: 540 S 16th St
Payette, ID 83661
Phone: (208) 297-8889
Fax: (208) 485-9475
Organisation at this address: Copacetic Supported Living
A Restored Life Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho