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Mr. Derrik Richard Haithcock SR., LCDCLLL
Addiction (Substance Use Disorder) Counselor in Bainbridge, Ohio
NPI 1922598143

Derrik Richard Haithcock SR. is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Derrik Richard Haithcock SR. practices in Bainbridge, OH and has the professional credentials of LCDCLLL. The NPI Number for Derrik Richard Haithcock SR. is 1922598143 and holds a License No. (Ohio).

The current practice location address for Derrik Richard Haithcock SR. is 1071 Tong Hollow Rd, Bainbridge, OH and can be reached out via phone at 740-634-3094.

Location: 1071 Tong Hollow Rd, Bainbridge, OH, 45206-1922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922598143
Provider Name
Derrik Richard Haithcock SR.
Credential
LCDCLLL
Provider Entity Type
Individual
Gender
Male
Address
1071 Tong Hollow Rd, Bainbridge, OH, 45206-1922
Phone Number
740-634-3094
Fax Number
Provider Enumeration Date
05/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1071 Tong Hollow Rd
City
Bainbridge
State
Ohio
Zip
45612-1500
Phone Number
740-634-3094
Fax Number
person
Provider Business Mailing Address Details
Address
1071 Tong Hollow Rd
City
Bainbridge
State
Ohio
Zip
45612-1500
Phone Number
740-634-3094
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LCDCIII.161470 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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