Individual
GREGORY DONALD ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 GLEN COVE MARINA RD E, VALLEJO, CA 94591-7290
(707) 648-2000
Mailing address
801 GREENMONT DR, VALLEJO, CA 94591-7642
(707) 205-6321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
08/14/2025
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