Search › North Carolina › 101YM0800X
Bradley Blackburn, LCMHC, NCC
NPI 1649947912 · on the registry since 2021 · sole proprietor
Practice
- Address
- 23 Union St N Ste A
Concord, NC 28025 - Phone
- (704) 918-5584
- Fax
- (833) 552-2077
- Organisation at this address
- Foundry Psychiatric Associates
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-17
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 North Carolina