Individual
VIRGINIA E POND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DBH, LCSW, CADC
Contact information
Practice address
401 PETER DANA POINT ROAD, PRINCETON, ME 04668-0466
(207) 796-2321
Mailing address
PO BOX 1274, CALAIS, ME 04619-6274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CAC5229
ME
1041C0700X
Clinical Social Worker
Primary
LC10932
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415180099
—
ME
Enumeration date
02/28/2007
Last updated
11/22/2021
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