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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2136 (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.