| Doctor Name: | MR. GREGORY ARTHUR AMMON |
| NPI Number: | 1033253901 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC MS NCC |
| License Number: | 3191125 |
| Business Practice Address: | 1969 W Hart Road Beloit, WI - 53511 |
| Business Phone Number: | 6083645686 |
| Business Fax Number: | 6083635756 |
| Mailing Address: | 711 Milwaukee Road, BELOIT |
| State: | WI |
| Postal Code: | 53511 |
| Phone Number: | 6083641181 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3191125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |