Individual provider · Type 1 NPI
Bradley Blackburn, LCMHC, NCC
Mental Health Counselor · Concord, NC
NPI number
1649947912
Active
Practice location
23 Union St N Ste A
Concord, NC 28025-4726
Fax (833) 552-2077
Mailing address
PO Box 1792
Concord, NC 28026-1792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 16749 (NC) |
| Mental Health Counselor Primary | 101YM0800X | 16749 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1649947912
Bradley Blackburn, LCMHC, NCC's National Provider Identifier is 1649947912, issued on Aug 25, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Concord, NC. The record was last updated on Jun 17, 2025.