Individual
LATRELL HAITHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 ERIN CT, HILLSBORO, OH 45133-8591
(937) 393-9946
Mailing address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 772-7957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.2606122
OH
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/16/2026
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