| Fred Gammon, T-LAC | |
|
6610 Se Quakervale Rd, Riverton, KS 66770-4185 | |
| (620) 848-2300 | |
| (620) 848-2301 |
| Full Name | Fred Gammon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6610 Se Quakervale Rd, Riverton, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699192617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1139 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Gammon, T-LAC Po Box 550, Riverton, KS 66770-0550 Ph: (620) 848-2300 | Fred Gammon, T-LAC 6610 Se Quakervale Rd, Riverton, KS 66770-4185 Ph: (620) 848-2300 |
Whitney Nobis, AAPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Kenna Jane Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 | |
Mark Hoag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Mrs. Leslie Childers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Ruth Weitzel, CADCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Christine Abshier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 |