MR. Gary Clayton Isham, CDP
NPI #1114177169 in La Conner, Washington
Provider Information
- NPI Number
- 1114177169
- Entity Type
- Individual
- Name
- MR. Gary Clayton Isham, CDP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDP
- Enumeration Date
- Sep 26, 2008
- Last Updated
- Oct 20, 2014
Practice Location
- Address
- 17337 RESERVATION RD
- City
- La Conner
- State
- Washington
- ZIP Code
- 98257-8802
- Phone
- (360) 466-1024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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