Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina M Overstreet, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063854107

Tina M Overstreet, SUDP is an Addiction (Substance Use Disorder) Counselor in Moscow, Idaho. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

803 S Main St Ste 120
Moscow, ID 83843-2695
Phone: (509) 444-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1063854107
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP
Sole proprietorNo
NPI enumeratedJuly 17, 2013
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

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