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MR. RONALD JOHN GAMMON CADCIII CCS
NPI 1760540405
Counselor - Addiction (Substance Use Disorder) in Meguon, WI

Active since December 05, 2006
NORTH SHORE CENTER, 10303 N PORT WASHINGTON RD SQ 203, MEGUON, WI 53092(262) 241-5955(262) 241-5926 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ronald John Gammon Cadciii Ccs NPPES

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

MR. RONALD JOHN GAMMON CADCIII CCS (NPI 1760540405) is an individual addiction (substance use disorder) provider in Meguon, Wisconsin, licensed in Wisconsin (2136) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1760540405
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RONALD JOHN GAMMONCredential: CADCIII CCS
Location AddressNORTH SHORE CENTER, 10303 N PORT WASHINGTON RD SQ 203Meguon, WI 53092
Mailing AddressNorth Shore Center, 10303 N Port Washington Rd Sq 203Meguon, WI 53092 · (262) 241-5955 · Fax (262) 241-5926
Phone(262) 241-5955
Fax(262) 241-5926
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760540405 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 · 2136
NORTH SHORE CENTER, Meguon, WI 53092
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Other Identifiers 1

Medicare ID-Type Unspecified84437

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 Ronald Gammon's NPI number?

The NPI number for Ronald Gammon is 1760540405. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Ronald Gammon located?

Ronald Gammon practices at North Shore Center 10303 N Port Washington Rd Sq 203, Meguon, WI 53092. The listed phone number is (262) 241-5955.

What is Ronald Gammon'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 Ronald Gammon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.