Individual provider · Type 1 NPI

Brandon Hereford Ricke, CADC-R, CRM, BBA

Counselor · Waterbury, CT

NPI number 1760104699 Active

Practice location

855 Lakewood Rd
Waterbury, CT 06704-5408

Call (888) 793-3500 Map

Fax (860) 793-3369

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1760104699

Brandon Hereford Ricke, CADC-R, CRM, BBA's National Provider Identifier is 1760104699, issued on Sep 16, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waterbury, CT. The record was last updated on Apr 22, 2025.