Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Joshua David Gandolf, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336171891

Mr. Joshua David Gandolf, CSAC is an Addiction (Substance Use Disorder) Counselor in Menasha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

1201 Tuckaway Ln
Menasha, WI 54952-1704
Phone: (920) 733-4277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 14670 (WI)

Record details

NPI number1336171891
Entity typeIndividual (Type 1)
GenderMale
Credentials CSAC
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 8, 2007

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