Provider Demographics
NPI:1053697078
Name:REDMOND, ASTRID (CADC)
Entity type:Individual
Prefix:MRS
First Name:ASTRID
Middle Name:
Last Name:REDMOND
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 FRANKLIN HEALTH CMNS STE A
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-6143
Mailing Address - Country:US
Mailing Address - Phone:207-779-2843
Mailing Address - Fax:207-779-2143
Practice Address - Street 1:131 FRANKLIN HEALTH CMNS STE A
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-6143
Practice Address - Country:US
Practice Address - Phone:207-779-2843
Practice Address - Fax:207-779-2143
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC4551101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)