person
Mr. Joshua David Gandolf, CSAC
Addiction (Substance Use Disorder) Counselor in Menasha, Wisconsin
NPI 1336171891

Joshua David Gandolf is an Addiction (Substance Use Disorder) Counselor based in Menasha, WI and is specialized in Addiction (Substance Use Disorder). Joshua David Gandolf practices in Menasha, WI and has the professional credentials of CSAC. The NPI Number for Joshua David Gandolf is 1336171891 and holds a License No. 14670 (Wisconsin).

The current practice location address for Joshua David Gandolf is 1201 Tuckaway Ln, Menasha, WI and can be reached out via phone at 920-733-4277.

Location: 1201 Tuckaway Ln, Menasha, WI, 54952-1704
person
Provider Profile Details
NPI Number
1336171891
Provider Name
Joshua David Gandolf
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
1201 Tuckaway Ln, Menasha, WI, 54952-1704
Phone Number
920-733-4277
Fax Number
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1201 Tuckaway Ln
City
State
Zip
54952-1704
Phone Number
920-733-4277
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Tuckaway Ln
City
State
Zip
54952-1704
Phone Number
920-733-4277
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14670 (Wisconsin)
Definition
Definition to come...
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