Provider Demographics
NPI:1194386813
Name:MCGRAW, BRITTNEY (MS, LPC, QMHP)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:MS, LPC, QMHP
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 1548
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:WY
Mailing Address - Zip Code:82331-1548
Mailing Address - Country:US
Mailing Address - Phone:307-329-3843
Mailing Address - Fax:
Practice Address - Street 1:515 NATIONAL ST STE 103
Practice Address - Street 2:
Practice Address - City:BELLE FOURCHE
Practice Address - State:SD
Practice Address - Zip Code:57717-1833
Practice Address - Country:US
Practice Address - Phone:605-722-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1122101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor