Mr. Ronald John Gammon, CADCIIICCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760540405

Mr. Ronald John Gammon, CADCIIICCS is an Addiction (Substance Use Disorder) Counselor in Meguon, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in: WI
In the registry since: 2006

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Practice location Partly verified

Some contact details are missing from the federal record.

N Shore Center 10303 N Port Washington Rd Sq 203
Meguon, WI 53092
Phone: (262) 241-5955
Fax: (262) 241-5926

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X · Licence 2136 (WI)

Record details

NPI number	1760540405
Entity type	Individual (Type 1)
Gender	Male
Credentials	CADCIIICCS
Sole proprietor	Yes
NPI enumerated	December 5, 2006
Last updated in NPPES	July 8, 2007