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Marissa Brandenburg, LPC
NPI 1114309796 · on the registry since 2015
Practice
- Address
- 3255 Pontaluna Rd
Fruitport, MI 49415 - Phone
- (231) 733-6720
- Organisation at this address
- Hackley Community Care Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan