| Alonzo Eison Iv, | |
|
14715 East Hwy 20, Clearlake Oaks, CA 95453 | |
| (707) 998-1800 | |
| (707) 998-0122 |
| Full Name | Alonzo Eison Iv |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 14715 East Hwy 20, Clearlake Oaks, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811735277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SUDRC18607 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alonzo Eison Iv, Po Box 316, Lucerne, CA 95458-0316 Ph: (707) 998-1800 | Alonzo Eison Iv, 14715 East Hwy 20, Clearlake Oaks, CA 95453 Ph: (707) 998-1800 |
Heather Sue Gerber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14715 E Hwy 20, Clearlake Oaks, CA 95423 Phone: 707-998-1800 Fax: 707-998-0122 | |
William Hawley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14715 E.highway 20, Clearlake Oaks, CA 95423 Phone: 707-998-1800 Fax: 709-980-0122 | |
John Phillip Sheridan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14715 E. Highway 20, Clearlake Oaks, CA 95423 Phone: 707-274-5610 Fax: 707-998-0122 | |
Rikki Irie Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14715 East Hwy 20, Clearlake Oaks, CA 95423 Phone: 707-998-1800 | |
Ms. April Michelle Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2704 Spring Valley Rd, Clearlake Oaks, CA 95423 Phone: 707-295-4469 | |
Sean Sullivan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14715 E. Hwy 20, Clearlake Oaks, CA 95423 Phone: 707-998-1800 Fax: 707-998-0122 | |
Heather Connors Herbert, SUDRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14715 E Highway 20, Clearlake Oaks, CA 95423 Phone: 707-998-1800 |