Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gary Clayton Isham, CDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114177169

Mr. Gary Clayton Isham, CDP is an Addiction (Substance Use Disorder) Counselor in LA Conner, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2008

Practice location Address checks out

17337 Reservation Rd
LA Conner, WA 98257-8802
Phone: (360) 466-1024
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP00005949 (WA)

Record details

NPI number1114177169
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorYes
NPI enumeratedSeptember 26, 2008
Last updated in NPPESOctober 20, 2014

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