Provider Demographics
NPI:1891005278
Name:DAESCH, CATHERINE ANN (MA, LCPC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANN
Last Name:DAESCH
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:28 BRONZE POINTE N STE B
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-1191
Mailing Address - Country:US
Mailing Address - Phone:618-235-3857
Mailing Address - Fax:618-235-3843
Practice Address - Street 1:28 BRONZE POINTE N STE B
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-1191
Practice Address - Country:US
Practice Address - Phone:618-235-3957
Practice Address - Fax:618-235-3843
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.003676101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional