Individual
MR. RONALD JOHN GAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADCIII CCS
Contact information
Practice address
NORTH SHORE CENTER, 10303 N PORT WASHINGTON RD SQ 203, MEGUON, WI 53092
(262) 241-5955
(262) 241-5926
Mailing address
NORTH SHORE CENTER, 10303 N PORT WASHINGTON RD SQ 203, MEGUON, WI 53092
(262) 241-5955
(262) 241-5926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2136
WI
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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