Individual
MICHAEL BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BS, CADC II
Contact information
Practice address
2545 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6423
(541) 883-3471
(541) 883-3524
Mailing address
2545 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6423
(541) 883-3471
(541) 883-3524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AK300
AK
101YP2500X
Professional Counselor
Primary
C2949
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090450
—
OR
Enumeration date
10/05/2007
Last updated
11/27/2024
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