Provider Demographics
NPI:1326465402
Name:MCDERMOTT, CATHERINE (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:MCDERMOTT
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 CONSTANCE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5541
Mailing Address - Country:US
Mailing Address - Phone:504-220-4256
Mailing Address - Fax:
Practice Address - Street 1:3311 CAMP ST
Practice Address - Street 2:REAR APARTMENT
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2422
Practice Address - Country:US
Practice Address - Phone:504-220-4256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4574101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional