Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA M OVERSTREET, SUDP
ActiveAddiction (Substance Use Disorder) Counselor · MOSCOW, ID
Registration Details
- NPI Number
- 1063854107
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2013 (12.765126664035 yrs)
- Last Updated
- Apr 15, 2022
Practice Information
- Address
-
803 S MAIN ST STE 120MOSCOW, ID, 838432695Browse ID providers · Browse ZIP 83843
- Phone
- 5094448200
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| DANIELLE HARDY | CADC | 1043895303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.