Individual
MR. RICKY P. CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Contact information
Practice address
284 MAIN ST, SUITE 190, WILTON, ME 04294-3044
(207) 592-0741
Mailing address
284 MAIN ST, SUITE 190, WILTON, ME 04294-3044
(207) 592-0741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC885
ME
Other
Enumeration date
09/26/2010
Last updated
09/26/2010
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