person
Marissa Brandenburg, LPC
Mental Health Counselor in Fruitport, Michigan
NPI 1114309796

Marissa Brandenburg is a Mental Health Counselor based in Muskegon, MI and is specialized in Mental Health. Marissa Brandenburg practices in Fruitport, MI and has the professional credentials of LPC. The NPI Number for Marissa Brandenburg is 1114309796 and holds a License No. 6401014770 (Michigan).

The current practice location address for Marissa Brandenburg is 3255 Pontaluna Rd, Fruitport, MI and can be reached out via phone at 231-733-6720.

Location: 3255 Pontaluna Rd, Fruitport, MI, 49444-2157
person
Provider Profile Details
NPI Number
1114309796
Provider Name
Marissa Brandenburg
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3255 Pontaluna Rd, Fruitport, MI, 49444-2157
Phone Number
231-733-6720
Fax Number
Provider Enumeration Date
06/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114309796 05 MI
institution
Provider Business Practice Location Address Details
Address
3255 Pontaluna Rd
City
State
Zip
49415
Phone Number
231-733-6720
Fax Number
person
Provider Business Mailing Address Details
Address
3255 Pontaluna Rd
City
State
Zip
49415
Phone Number
231-733-6720
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401014770 (Michigan)
Definition
Definition to come...
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