Individual provider · Type 1 NPI

Gary Clayton Isham, CDP

Addiction (Substance Use Disorder) Counselor · La Conner, WA

NPI number 1114177169 Active

Practice location

17337 Reservation Rd
La Conner, WA 98257-8802

Mailing address

17500 S Skyridge Dr
Mount Vernon, WA 98274-7768

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00005949 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114177169

Gary Clayton Isham, CDP's National Provider Identifier is 1114177169, issued on Sep 26, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Conner, WA. The record was last updated on Oct 20, 2014.