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Individual

JOSHUA DAVID BLACKBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
739 BLUFF CITY HWY STE 5, BRISTOL, TN 37620-4637
(423) 588-0867
Mailing address
601 VIRGINIA AVE, BRISTOL, TN 37620-3934
(423) 588-0867

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014671
VA
101YM0800X
Mental Health Counselor
5409
TN

Other

Enumeration date
04/14/2025
Last updated
04/14/2025
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