Individual
MARIA MCDERMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611
Mailing address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1967-226
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16649-130
WI
101YP2500X
Professional Counselor
Primary
16649
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100049654
—
WI
Enumeration date
12/05/2013
Last updated
02/06/2024
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