Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA BRANDENBURG, LPC
ActiveMARISSA BRANDENBURG, LPC is a Mental Health Counselor healthcare provider located in FRUITPORT, Michigan. NPI 1114309796 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · FRUITPORT, MI
Registration Details
- NPI Number
- 1114309796
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2015 (10.970949631919 yrs)
- Last Updated
- Jan 2, 2022
- License
-
6401014770 (MI)
Practice Information
- Address
-
3255 PONTALUNA RDFRUITPORT, MI, 49415Browse MI providers · Browse ZIP 49415
- Phone
- 2317336720
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.