Individual provider · Type 1 NPI
Bryce Matthew Blackford, LGPC
Professional Counselor · Bowie, MD
NPI number
1508675869
Active
Practice location
3003 Teak Ln
Bowie, MD 20715-2041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LGP15994 (MD) |
Professional Counselor: Definition to come...
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About NPI 1508675869
Bryce Matthew Blackford, LGPC's National Provider Identifier is 1508675869, issued on Jan 2, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bowie, MD. The record was last updated on Jan 2, 2025.