Individual provider · Type 1 NPI

Bryson Dale Blackburn, LCSW

Mental Health Counselor · Arcadia, FL

NPI number 1891208393 Active

Practice location

725 N 12th Ave
Arcadia, FL 34266-8752

Fax (863) 491-0466

Mailing address

700 8th Ave W Ste 101
Palmetto, FL 34221-4737

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XSW14904 (FL)
Mental Health Counselor Primary 101YM0800XSW14904 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1891208393

Bryson Dale Blackburn, LCSW's National Provider Identifier is 1891208393, issued on Nov 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Arcadia, FL. The record was last updated on Jul 21, 2023.