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Search › Virginia › 101YM0800X

Blake Burdack

NPI 1518880996 · on the registry since 2026 · sole proprietor

Practice

Address
309 10th St
Radford, VA 24141
Phone
(540) 818-9989
Organisation at this address
Stand Alone Counseling Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia