Individual
KELLY REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LADC, CCS
Contact information
Practice address
293 COLDBROOK RD, HAMPDEN, ME 04444-1503
(207) 424-1704
Mailing address
293 COLDBROOK RD, HAMPDEN, ME 04444-1503
(207) 424-1704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5875
ME
101YM0800X
Mental Health Counselor
Primary
XL4089
ME
Other
Enumeration date
12/07/2015
Last updated
02/15/2023
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