person
Mr. Gary Clayton Isham, CDP
Addiction (Substance Use Disorder) Counselor in La Conner, Washington
NPI 1114177169

Gary Clayton Isham is an Addiction (Substance Use Disorder) Counselor based in Mount Vernon, WA and is specialized in Addiction (Substance Use Disorder). Gary Clayton Isham practices in La Conner, WA and has the professional credentials of CDP. The NPI Number for Gary Clayton Isham is 1114177169 and holds a License No. CP00005949 (Washington).

The current practice location address for Gary Clayton Isham is 17337 Reservation Rd, La Conner, WA and can be reached out via phone at 360-466-1024.

Location: 17337 Reservation Rd, La Conner, WA, 98274-7768
person
Provider Profile Details
NPI Number
1114177169
Provider Name
Gary Clayton Isham
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
17337 Reservation Rd, La Conner, WA, 98274-7768
Phone Number
360-466-1024
Fax Number
Provider Enumeration Date
09/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
199286 05 WA
institution
Provider Business Practice Location Address Details
Address
17337 Reservation Rd
City
State
Zip
98257-8802
Phone Number
360-466-1024
Fax Number
person
Provider Business Mailing Address Details
Address
17337 Reservation Rd
City
State
Zip
98257-8802
Phone Number
360-466-1024
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00005949 (Washington)
Definition
Definition to come...
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