Marykay Radford

NPI #1619370855 in Fruitport, Michigan

Provider Information

NPI Number: 1619370855
Entity Type: Individual
Name: Marykay Radford
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Oct 2, 2014
Last Updated: Oct 2, 2014

Practice Location

Address: 3285 S BROTON RD
City: Fruitport
State: Michigan
ZIP Code: 49415-9792
Phone: (231) 739-4359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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