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MR. GARY CLAYTON ISHAM CDP
NPI 1114177169
Counselor - Addiction (Substance Use Disorder) in La Conner, WA

Active since September 26, 2008
17337 RESERVATION RD, LA CONNER, WA 98257(360) 466-1024 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Gary Clayton Isham Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARY CLAYTON ISHAM CDP (NPI 1114177169) is an individual addiction (substance use disorder) provider in La Conner, Washington, licensed in Washington (CP00005949) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1114177169
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GARY CLAYTON ISHAMCredential: CDP
Location Address17337 RESERVATION RDLa Conner, WA 98257-8802
Mailing Address17500 S Skyridge DrMount Vernon, WA 98274-7768 · (425) 501-6257
Phone(360) 466-1024
Sole ProprietorYes
Enumeration DateSeptember 26, 2008
Last NPPES UpdateOctober 20, 2014
✔ NPI 1114177169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP00005949
17337 RESERVATION RD, La Conner, WA 98257
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Other Identifiers 1

Medicaid199286WA

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE FRANCO
Counselor (Addiction (Substance Use Disorder))
17337 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-1024
MS. HEATHER HARVEY BRYSON CCDCII, CDP
Case Manager/Care Coordinator
17337 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-1024
SWINOMISH INDIAN TRIBAL COMMUNITY
Counselor (Addiction (Substance Use Disorder))
17337 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-1024
MR. KELVIN R GILES CHEMICAL DEPENDENCY
Counselor (Addiction (Substance Use Disorder))
17337 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-1024
AMELIA FELTON CDPT
Counselor (Addiction (Substance Use Disorder))
17337 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-1024
DENIS GERARD DONOGHUE M.A., M.DIV., LMHCA
Counselor (Mental Health)
17337 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-7323
LATOYA EVANGELYN KAUBIN SUDPT
Counselor (Addiction (Substance Use Disorder))
17337 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-1024
EMMA MAE SADZEWICZ CDPT
Counselor (Addiction (Substance Use Disorder))
17337 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-1024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Isham's NPI number?

The NPI number for Gary Isham is 1114177169. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Where is Gary Isham located?

Gary Isham practices at 17337 Reservation Rd, La Conner, WA 98257. The listed phone number is (360) 466-1024.

What is Gary Isham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gary Isham was last updated on October 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.