ANDI M GLETTY CADCII A3773397 NPI 1659431757

NPI Information

  • NPI: 1659431757
  • Provider Name: ANDI M GLETTY, CADCII A3773397
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 15145A LAKESHORE DRIVE
    LAKE COUNTY MENTAL HEALTH
    CLEARLAKE, CA
    ZIP 95422
  • Phone: (707) 994-7090

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NPI Details

Andi M Gletty, CADCII A3773397 is an addiction (substance use disorder) counselor in Clearlake, CA. Andi M Gletty, CADCII A3773397 NPI is 1659431757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15145A LAKESHORE DRIVE
LAKE COUNTY MENTAL HEALTH
CLEARLAKE, CA
ZIP 95422
Phone: (707) 994-7090
Fax: (707) 994-7096

The enumeration date for this NPI number is 12/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)A3773397CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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