Individual provider · Type 1 NPI
Ronald John Gammon, CADCIII CCS
Addiction (Substance Use Disorder) Counselor · Meguon, WI
NPI number
1760540405
Active
Practice location
North Shore Center, 10303 N Port Washington Rd Sq 203
Meguon, WI 53092
Fax (262) 241-5926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2136 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1760540405
Ronald John Gammon, CADCIII CCS's National Provider Identifier is 1760540405, issued on Dec 5, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Meguon, WI. The record was last updated on Jul 8, 2007.