MR. Derrik Richard Haithcock SR., LCDC LLL

NPI #1922598143 in Bainbridge, Ohio

Provider Information

NPI Number
1922598143
Entity Type
Individual
Name
MR. Derrik Richard Haithcock SR., LCDC LLL
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDC LLL
Enumeration Date
May 14, 2018
Last Updated
Apr 10, 2019

Practice Location

Address
1071 TONG HOLLOW RD
State
Ohio
ZIP Code
45612-1500
Phone
(740) 634-3094

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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