Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marykay Radford

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619370855

Marykay Radford is an Addiction (Substance Use Disorder) Counselor in Fruitport, Michigan. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

3285 S Broton Rd
Fruitport, MI 49415-9792
Phone: (231) 739-4359
Fax: (231) 733-6151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1619370855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2014
Last updated in NPPESOctober 2, 2014
Mailing address3285 S Broton Rd, Fruitport, MI 49415-9792