Organization
A RESTORED LIFE COUNSELING
Active
Other names
A-Restored Life Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
GINA L OSTERLOTH CADC (OWNER)
(208) 297-8889
Entity
Organization
Contact information
Practice address
540 S 16TH ST STE 118, PAYETTE, ID 83661-3514
(208) 297-8889
(208) 485-9475
Mailing address
540 S 16TH ST STE 118, PAYETTE, ID 83661-3514
(208) 297-8889
(208) 485-9475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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