Individual provider · Type 1 NPI
Derrik Richard Haithcock Sr., LCDC LLL
Addiction (Substance Use Disorder) Counselor · Bainbridge, OH
NPI number
1922598143
Active
Practice location
1071 Tong Hollow Rd
Bainbridge, OH 45612-1500
Mailing address
401 E Mcmillan St
Cincinnati, OH 45206-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCDCIII.161470 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922598143
Derrik Richard Haithcock Sr., LCDC LLL's National Provider Identifier is 1922598143, issued on May 14, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bainbridge, OH. The record was last updated on Apr 10, 2019.