Individual provider · Type 1 NPI

Alonzo Eison Iv

Addiction (Substance Use Disorder) Counselor · Clearlake Oaks, CA

NPI number 1811735277 Active

Practice location

14715 East Hwy 20
Clearlake Oaks, CA 95453

Call (707) 998-1800 Map

Fax (707) 998-0122

Mailing address

PO Box 316
Lucerne, CA 95458-0316

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSUDRC18607 (CA)

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

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About NPI 1811735277

Alonzo Eison Iv's National Provider Identifier is 1811735277, issued on Jul 18, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake Oaks, CA. The record was last updated on Jul 18, 2024.