Individual
CONSTANCE A BLACK-POND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 PORTAGE ST, SUITE 210, KALAMAZOO, MI 49001-6900
(269) 373-6447
Mailing address
487 CHERRYVIEW DR, PORTAGE, MI 49024
(269) 373-6447
(269) 373-1229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401001080
MI
1041C0700X
Clinical Social Worker
6801059966
MI
Other
Enumeration date
08/07/2006
Last updated
09/11/2025
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