Individual
BRANDON HEREFORD RICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R, CRM, BBA
Contact information
Practice address
855 LAKEWOOD RD, WATERBURY, CT 06704-5408
(888) 793-3500
(860) 793-3369
Mailing address
855 LAKEWOOD RD, WATERBURY, CT 06704-5408
(888) 793-3500
(860) 793-3369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
09/16/2022
Last updated
04/22/2025
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