Individual
MARY CATHERINE DESMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LPC, CSAC
Contact information
Practice address
N8301 COUNTY ROAD A, WATERTOWN, WI 53094-9151
(920) 261-3309
Mailing address
N8301 COUNTY ROAD A, WATERTOWN, WI 53094-9151
(920) 261-3309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2006-132
WI
101YP2500X
Professional Counselor
1524-125
WI
1041C0700X
Clinical Social Worker
3358-123
WI
163W00000X
Registered Nurse
Primary
37015-030
WI
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
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