Individual provider · Type 1 NPI

Michael Marcum, LADC

Addiction (Substance Use Disorder) Counselor · Roseville, MN

NPI number 1467280651 Active

Practice location

2350 Cleveland Ave N
Roseville, MN 55113-2701

Mailing address

8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437

Other practice locations

  • 1020 W Broadway Ave, Minneapolis, MN 55411-2504 · (612) 895-3850

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1467280651

Michael Marcum, LADC's National Provider Identifier is 1467280651, issued on Jul 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, MN. The record was last updated on Jul 22, 2024.