Individual
BRANDON PATRICK RIDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC, NCC
Contact information
Practice address
407 S GRIFFIN ST STE J, ELIZABETH CITY, NC 27909-4693
(252) 331-0322
(252) 331-0320
Mailing address
407 S GRIFFIN ST STE J, ELIZABETH CITY, NC 27909-4693
(252) 331-0322
(252) 331-0320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19701
NC
101YM0800X
Mental Health Counselor
Primary
A19701
NC
Other
Enumeration date
02/13/2024
Last updated
03/12/2026
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