| NPI | 1023558681 |
|---|---|
| Professional Name | JOHNNY R MARCUM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 185253) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 185253) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2024-06-27 |