Provider Demographics
NPI:1932766839
Name:WILLOW BRITT, GRACE JENAE (MA, LPC, NCC, ACHT)
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:JENAE
Last Name:WILLOW BRITT
Suffix:
Gender:F
Credentials:MA, LPC, NCC, ACHT
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:GALE
Other - Last Name:BRITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT, CPC
Mailing Address - Street 1:20310 HIGHWAY 160 UNIT 74G
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-6518
Mailing Address - Country:US
Mailing Address - Phone:503-395-4477
Mailing Address - Fax:
Practice Address - Street 1:20310 HIGHWAY 160 UNIT 74G
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-6518
Practice Address - Country:US
Practice Address - Phone:503-395-4477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-26
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC9019101YP2500X
TX88134101YP2500X, 101YP2500X
COLPC.0021282101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional