| Doctor Name: | PAUL GESSFORD |
| NPI Number: | 1669689089 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MFT MAC |
| License Number: | MAC NAADAC 507070 |
| Business Practice Address: | 880 Northwood Blvd Ste 4 Incline Village, NV - 894518249 |
| Business Phone Number: | 7758331003 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5627, INCLINE VILLAGE |
| State: | NV |
| Postal Code: | 894505627 |
| Phone Number: | 7758331003 |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | MAC NAADAC 507070 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |