Individual provider · Type 1 NPI

Marykay Radford

Addiction (Substance Use Disorder) Counselor · Fruitport, MI

NPI number 1619370855 Active

Practice location

3285 S Broton Rd
Fruitport, MI 49415-9792

Call (231) 739-4359 Map

Fax (231) 733-6151

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

About NPI 1619370855

Marykay Radford's National Provider Identifier is 1619370855, issued on Oct 2, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fruitport, MI. The record was last updated on Oct 2, 2014.