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Maria Mcdermit
Counselor in West Bend, Wisconsin
NPI 1205267994

Maria Mcdermit is a Counselor based in West Bend, WI. Maria Mcdermit practices in West Bend, WI. The NPI Number for Maria Mcdermit is 1205267994 and holds a License No. 16649-130 (Wisconsin).

The current practice location address for Maria Mcdermit is 1626 Clarence Ct, West Bend, WI and can be reached out via phone at 262-338-8611.

Location: 1626 Clarence Ct, West Bend, WI, 53095-8533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205267994
Provider Name
Maria Mcdermit
Credential
Provider Entity Type
Individual
Gender
Female
Address
1626 Clarence Ct, West Bend, WI, 53095-8533
Phone Number
262-338-8611
Fax Number
Provider Enumeration Date
12/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100049654 05 WI
institution
Provider Business Practice Location Address Details
Address
1626 Clarence Ct
City
West Bend
State
Wisconsin
Zip
53095-8533
Phone Number
262-338-8611
Fax Number
person
Provider Business Mailing Address Details
Address
1626 Clarence Ct
City
West Bend
State
Wisconsin
Zip
53095-8533
Phone Number
262-338-8611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1967-226 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
16649 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
16649-130 (Wisconsin)
Definition
Definition to come...
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