GINA L OSTERLOTH

PAYETTE, ID
NPI1538714795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  11675)
Enumeration Date2019-08-05
Last Update Date2019-08-05
Business Address
GINA L OSTERLOTH BA, CADC
540 S 16TH ST
PAYETTE, ID 83661-3513
Phone number: 208-297-8889
Mailing Address
GINA L OSTERLOTH BA, CADC
540 S 16TH ST STE 118
PAYETTE, ID 83661-3514
Phone number: 208-297-8889
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