Individual
LATISHA MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 MAIN AVE, LOGAN, WV 25601-3331
(304) 896-2383
(304) 896-2087
Mailing address
40 MAIN AVE, LOGAN, WV 25601-3331
(304) 896-2383
(304) 896-2087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WV
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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