Individual provider · Type 1 NPI
Joshua David Blackburn, MA, LPC
Professional Counselor · Bristol, TN
NPI number
1386439875
Active
Practice location
739 Bluff City Hwy Ste 5
Bristol, TN 37620-4637
Mailing address
601 Virginia Ave
Bristol, TN 37620-3934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701014671 (VA) |
| Professional Counselor | 101YP2500X | 5409 (TN) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1386439875
Joshua David Blackburn, MA, LPC's National Provider Identifier is 1386439875, issued on Apr 14, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bristol, TN. The record was last updated on Jun 24, 2026.