IndividualActive
Gina Osterloth, BA, CADC
NPI 1538714795 · Addiction (Substance Use Disorder) Counselor · Payette, ID
Provider details
- NPI number
- 1538714795
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- BA, CADC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11675 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
540 S 16th St
Payette, ID 83661-3513
Phone: (208) 297-8889
Fax: (208) 485-9475
Approximate (ZIP-level) locationGet directions
Mailing address
540 S 16th St Ste 118
Payette, ID 83661-3514
Registry dates
- Enumerated
- 2019-08-05
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.