MR. GARY CLAYTON ISHAM (CDP) – Addiction (Substance Use Disorder) Counselor, NPI 1114177169

Addiction (Substance Use Disorder) Counselor

MR. GARY CLAYTON ISHAM (CDP) is a healthcare provider. based in Mount vernon, Washington. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials CDP. They hold a License No. CP00005949 (WA). The NPI Number for MR. GARY CLAYTON ISHAM (CDP) is 1114177169

Main info

Male

Sole Proprietor

Name

MR. GARY CLAYTON ISHAM (CDP)

NPI

1114177169

Phone

(425) 501-6257

Address

17500 S SKYRIDGE DR

Enumeration Date

26 September 2008

Last Update Date

20 October 2014

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness75

Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for MR. GARY CLAYTON ISHAM (CDP)

17500 S SKYRIDGE DR
MOUNT VERNON, WA 982747768
Phone: (425) 501-6257
Type: Mailing
Social Services Building, 17337, Reservation Road, Swinomish Village, La Conner, Skagit County, Washington, 98257, United States
LA CONNER, WA 982578802
Phone: (360) 466-1024
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98274)

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Reviews

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Frequently asked questions

What identifier follows MR. GARY CLAYTON ISHAM (CDP) across health systems?

The NPI 1114177169 uniquely identifies MR. GARY CLAYTON ISHAM (CDP) in U.S. healthcare data.

Should I treat MR. GARY CLAYTON ISHAM (CDP) as an active provider?

Patients and plans typically see MR. GARY CLAYTON ISHAM (CDP) as active in the national extract.

What type of care does MR. GARY CLAYTON ISHAM (CDP) provide?

MR. GARY CLAYTON ISHAM (CDP)'s profile centers on Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.

Is MR. GARY CLAYTON ISHAM (CDP) tied to Mount Vernon, Washington?

If you are local to Mount Vernon, Washington, MR. GARY CLAYTON ISHAM (CDP) may be relevant to your search.

Can I export MR. GARY CLAYTON ISHAM (CDP)'s record?

You can download the official NPPES record; we summarize key fields for readability.