Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADLEY BLACKBURN, LCMHC, NCC
Active Sole ProprietorMR. BRADLEY BLACKBURN, LCMHC, NCC is a Mental Health Counselor healthcare provider located in CONCORD, North Carolina. NPI 1649947912 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CONCORD, NC
Registration Details
- NPI Number
- 1649947912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2021 (4.945368987458 yrs)
- Last Updated
- Jun 17, 2025
- Licenses
-
16749 (NC)16749 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 UNION ST N STE ACONCORD, NC, 280254726Browse NC providers · Browse ZIP 28025
- Phone
- 7049185584
- Fax
- 8335522077
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in CONCORD, NC
| Name | Credential | NPI |
|---|---|---|
| LAURIE STUMP FULPER | M.A, LCMHC | 1902861594 |
| MS. FRANCESCA LUX | MA, LPC, LCAS, CCS-I | 1275646457 |
| MR. JOHN KENNEDY EDMOND SR. | — | 1821146986 |
| JOSHUA BRAMBLE | MA, LCMHCS, LPC | 1356488936 |
| FAITH V GOLD | — | 1144346735 |
| SHERELL DENISE SMALLS | MSW | 1033237169 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.