Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALONZO EISON IV
Active Sole ProprietorALONZO EISON IV is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CLEARLAKE OAKS, California. NPI 1811735277 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CLEARLAKE OAKS, CA
Registration Details
- NPI Number
- 1811735277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2024 (1.8958434121793 yrs)
- Last Updated
- Jul 18, 2024
- License
-
SUDRC18607 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14715 EAST HWY 20CLEARLAKE OAKS, CA, 95453Browse CA providers · Browse ZIP 95453
- Phone
- 7079981800
- Fax
- 7079980122
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CLEARLAKE OAKS, CA
| Name | Credential | NPI |
|---|---|---|
| BREANNA RAQUELLE CRUZ | — | 1689246746 |
| JOHN PHILLIP SHERIDAN | — | 1316604218 |
| JENNIFER LYNN KRAUS | — | 1891453973 |
| CHRISTOPHER DANIEL FRASER | — | 1891440194 |
| RIKKI IRIE DAVIS | — | 1336863158 |
| HEATHER CONNORS HERBERT | SUDRC | 1386360782 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.