FRED GAMMON, T-LAC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1699192617
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 1139 (KS) |
Frequently Asked Questions
NPI 1699192617 is the National Provider Identifier for FRED GAMMON, T-LAC, a Counselor - Addiction (Substance Use Disorder) provider located in Riverton, KS. This NPI was enumerated on March 27, 2014.
FRED GAMMON, T-LAC practices at 6610 SE QUAKERVALE RD, Riverton, KS 66770.
Quick Facts
- NPI
- 1699192617
- Type
- Individual
- Enumerated
- Mar 27, 2014
- Last Updated
- Mar 27, 2014
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