Provider Demographics
NPI:1881424778
Name:MCWILLIAMS, MARY (MFT-C)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:MFT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 379
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-0379
Mailing Address - Country:US
Mailing Address - Phone:720-515-1161
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 379
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-0379
Practice Address - Country:US
Practice Address - Phone:720-515-1161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014692106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist