Individual
MRS. MARIA C MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, SAC
Contact information
Practice address
7633 GANSER WAY STE 204, MADISON, WI 53719-2092
(608) 829-1800
Mailing address
7633 GANSER WAY STE 204, MADISON, WI 53719-2092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16426-131
WI
101YP2500X
Professional Counselor
Primary
7805-125
WI
Other
Enumeration date
06/19/2018
Last updated
05/04/2021
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