Black-Pond, Constance A

Black-Pond, Constance A is an individual health care provider with primary practice located at 4000 Portage St Suite 210, Kalamazoo MI 49001-6900. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Black-Pond, Constance A can be contacted via phone (269) 373-6447.

Contact Information

Primary practice address
4000 Portage St Suite 210 Kalamazoo MI 49001-6900
Phone: (269) 373-6447
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401001080 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801059966 Michigan

Profile Details

NPI number 1679582548
LBN Legal business name Black-Pond, Constance A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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