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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOSHUA DAVID GANDOLF, CSAC

Active

MR. JOSHUA DAVID GANDOLF, CSAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MENASHA, Wisconsin. NPI 1336171891 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · MENASHA, WI

Registration Details

NPI Number
1336171891
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (19.920969841658 yrs)
Last Updated
Jul 8, 2007
License
14670 (WI)

Practice Information

Address
1201 TUCKAWAY LN
MENASHA, WI, 549521704
Browse WI providers · Browse ZIP 54952
Phone
9207334277

Other Addiction (Substance Use Disorder) Counselor Providers in MENASHA, WI

Name Credential NPI
STEVEN BEAU 1578622635
JAMES CRUTHERS 1891854964
LYNNE DREWS 1023177193
DARLENE LEARY 1003976473
BARBARA LUTZEWITZ 1619037090
GLORIA KLOEHN 1124188594
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.