| Marykay Radford, | |
|
3285 S Broton Rd, Fruitport, MI 49415-9792 | |
| (231) 739-4359 | |
| (231) 733-6151 |
| Full Name | Marykay Radford |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3285 S Broton Rd, Fruitport, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619370855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marykay Radford, 3285 S Broton Rd, Fruitport, MI 49415-9792 Ph: (231) 739-4359 | Marykay Radford, 3285 S Broton Rd, Fruitport, MI 49415-9792 Ph: (231) 739-4359 |
Marissa Brandenburg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3255 Pontaluna Rd, Fruitport, MI 49415 Phone: 231-733-6720 | |
Mr. James Sherrill, Counselor Medicare: Medicare Enrolled Practice Location: 6250 Cline Rd, Fruitport, MI 49415 Phone: 231-213-0923 |