Individual provider · Type 1 NPI
James Clark Gessner, ADDICTION SPECIALIST
Addiction (Substance Use Disorder) Counselor · Clearlake, CA
NPI number
1225199227
Active
Practice location
7000 South Center Dr
Clearlake, CA 95422-7000
Mailing address
9555 Chippewa Trail
Kelseyville, CA 95451-9555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | G0402270902 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1225199227
James Clark Gessner, ADDICTION SPECIALIST's National Provider Identifier is 1225199227, issued on Dec 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Jul 8, 2007.