Individual
PENNY MICHELLE RADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 LIME QUARRY RD STE 111, MADISON, AL 35758-8975
(256) 278-2802
Mailing address
306 WYNN DR NW, HUNTSVILLE, AL 35805-1961
(256) 882-2457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22218554
AL
106S00000X
Behavior Technician
Primary
22218554
AL
Other
Enumeration date
06/23/2022
Last updated
02/10/2026
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