Healthcare Provider Details

I. General information

NPI: 1073420576
Provider Name (Legal Business Name): GRETCHEN MARY WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 S 4TH ST
MONTROSE CO
81401-4221
US

IV. Provider business mailing address

620 S 4TH ST
MONTROSE CO
81401-4221
US

V. Phone/Fax

Practice location:
  • Phone: 970-708-8599
  • Fax:
Mailing address:
  • Phone: 970-708-8599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0023323
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: