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MR. JOSHUA DAVID GANDOLF CSAC
NPI 1336171891
Counselor - Addiction (Substance Use Disorder) in Menasha, WI

Active since July 07, 2006
1201 TUCKAWAY LN, MENASHA, WI 54952(920) 733-4277 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Joshua David Gandolf Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSHUA DAVID GANDOLF CSAC (NPI 1336171891) is an individual addiction (substance use disorder) provider in Menasha, Wisconsin, licensed in Wisconsin (14670) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336171891
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JOSHUA DAVID GANDOLFCredential: CSAC
Location Address1201 TUCKAWAY LNMenasha, WI 54952-1704
Mailing Address1201 Tuckaway LnMenasha, WI 54952-1704 · (920) 733-4277
Phone(920) 733-4277
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336171891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 14670
1201 TUCKAWAY LN, Menasha, WI 54952
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE M COATS L.P.N.
Licensed Practical Nurse
1201 TUCKAWAY LN
MENASHA, WI 54952
Calumet County (920) 733-4443
MR. MICHAEL G. FROST RADCI
Counselor (Addiction (Substance Use Disorder))
1201 TUCKAWAY LN
MENASHA, WI 54952
Calumet County (920) 733-4443
SCONNIE RIDES, LLC
Non-emergency Medical Transport (VAN)
1201 TUCKAWAY LN
MENASHA, WI 54952
Calumet County (120) 851-5594
CYNTHIA A. GRIESE CADC III,CCS II
Counselor (Addiction (Substance Use Disorder))
1201 TUCKAWAY LN
MENASHA, WI 54952
Calumet County (920) 733-4443
STACEY R. PORTERFIELD LPN
Licensed Practical Nurse
1201 TUCKAWAY LN
MENASHA, WI 54952
Calumet County (920) 733-4443
MS. KERRI L HEEGEMAN CADC III,CCS-G
Counselor (Addiction (Substance Use Disorder))
1201 TUCKAWAY LN
MENASHA, WI 54952
Calumet County (920) 733-4443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Gandolf's NPI number?

The NPI number for Joshua Gandolf is 1336171891. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Joshua Gandolf located?

Joshua Gandolf practices at 1201 Tuckaway Ln, Menasha, WI 54952. The listed phone number is (920) 733-4277.

What is Joshua Gandolf's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Joshua Gandolf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.