TINA OVERSTREET, SUDP
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1063854107
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1063854107 is the National Provider Identifier for TINA OVERSTREET, SUDP, a Counselor - Addiction (Substance Use Disorder) provider located in Moscow, ID. This NPI was enumerated on July 17, 2013.
TINA OVERSTREET, SUDP practices at 803 S MAIN ST STE 120, Moscow, ID 83843.
Quick Facts
- NPI
- 1063854107
- Type
- Individual
- Enumerated
- Jul 17, 2013
- Last Updated
- Apr 15, 2022
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