Individual
DESTINY MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADAC II
Contact information
Practice address
203 N STATE ST, NORTH VERNON, IN 47265-2454
(812) 316-1267
Mailing address
203 N STATE ST, NORTH VERNON, IN 47265-2454
(812) 316-1267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-5048
IN
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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