Provider Demographics
NPI:1033892773
Name:BRITTAIN, MARY
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:BRITTAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:CASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10555 W JEWELL AVE APT 22-104
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6222
Mailing Address - Country:US
Mailing Address - Phone:303-886-7429
Mailing Address - Fax:
Practice Address - Street 1:13659 E 104TH AVE UNIT 800
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-9406
Practice Address - Country:US
Practice Address - Phone:720-520-7755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
COLPCC.0021008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional