| A Restored Life Counseling | |
|
540 S 16th St Ste 118 Payette ID 83661-3514 | |
| (208) 297-8889 | |
| (208) 485-9475 |
| Full Name | A Restored Life Counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 540 S 16th St Ste 118, Payette, Idaho |
| Authorized Official Name and Position | Gina L Osterloth (OWNER) |
| Authorized Official Contact | 2082978889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Restored Life Counseling 540 S 16th St Ste 118 Payette ID 83661-3514 Ph: (208) 297-8889 | A Restored Life Counseling 540 S 16th St Ste 118 Payette ID 83661-3514 Ph: (208) 297-8889 |
| NPI Number | 1710535646 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 09/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710535646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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