Individual provider · Type 1 NPI
Marissa Brandenburg, LPC
Mental Health Counselor · Fruitport, MI
NPI number
1114309796
Active
Practice location
3255 Pontaluna Rd
Fruitport, MI 49415
Mailing address
2700 Baker St Fl 3
Muskegon, MI 49444-2157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401014770 (MI) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Fruitport
About NPI 1114309796
Marissa Brandenburg, LPC's National Provider Identifier is 1114309796, issued on Jun 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fruitport, MI. The record was last updated on Jan 2, 2022.