| Doctor Name: | MR. JAMES CLARK GESSNER |
| NPI Number: | 1225199227 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ADDICTION SPECIALIST |
| License Number: | G0402270902 |
| Business Practice Address: | 7000 South Center Dr Clearlake, CA - 954227000 |
| Business Phone Number: | 7079946414 |
| Business Fax Number: | |
| Mailing Address: | 9555 Chippewa Trail, KELSEYVILLE |
| State: | CA |
| Postal Code: | 954519555 |
| Phone Number: | 7072770881 |
| Fax Number: | 7079947164 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | G0402270902 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |