NPI | 1023558681 |
---|---|
Professional Name | JOHNNY R MARCUM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH 004481) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 185253) |
171M00000X Case Manager/Care Coordinator (Licence: OH 185253) | |
Enumeration Date | 2017-03-02 |
Last Update Date | 2025-04-07 |