Individual
BRITTANY MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6870 KY-899, PIPPA PASSES, KY 41844
(606) 483-2723
Mailing address
2675 KY ROUTE 850, DAVID, KY 41616-8326
(606) 483-2723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1195718
—
KY
Enumeration date
07/14/2021
Last updated
07/15/2021
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