Individual
RONDA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
629 MAIN ST, BANGOR, ME 04401-6848
(207) 990-2870
(207) 990-2298
Mailing address
629 MAIN ST, BANGOR, ME 04401-6848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC4364
ME
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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