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MARYKAY RADFORD
NPI 1619370855
Counselor - Addiction (Substance Use Disorder) in Fruitport, MI

Active since October 02, 2014
3285 S BROTON RD, FRUITPORT, MI 49415(231) 739-4359(231) 733-6151 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marykay Radford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYKAY RADFORD (NPI 1619370855) is an individual addiction (substance use disorder) provider in Fruitport, Michigan and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1619370855
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARYKAY RADFORD
Location Address3285 S BROTON RDFruitport, MI 49415-9792
Mailing Address3285 S Broton RdFruitport, MI 49415-9792 · (231) 739-4359 · Fax (231) 733-6151
Phone(231) 739-4359
Fax(231) 733-6151
Sole ProprietorYes
Enumeration DateOctober 2, 2014
✔ NPI 1619370855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3285 S BROTON RD, Fruitport, MI 49415
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marykay Radford's NPI number?

The NPI number for Marykay Radford is 1619370855. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Marykay Radford located?

Marykay Radford practices at 3285 S Broton Rd, Fruitport, MI 49415. The listed phone number is (231) 739-4359.

What is Marykay Radford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marykay Radford was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.