| Blake Stuart Burdack, | |
|
309 10th St, Radford, VA 24141-3007 | |
| (540) 818-9989 | |
| Not Available |
| Full Name | Blake Stuart Burdack |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 309 10th St, Radford, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518880996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0709027011 (Virginia) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0704018988 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Stuart Burdack, 309 10th St, Radford, VA 24141-3007 Ph: Not Available | Blake Stuart Burdack, 309 10th St, Radford, VA 24141-3007 Ph: (540) 818-9989 |
Elizabeth Del Hollingsworth, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000 Fax: 540-961-8465 |
Cynthia D Ritchey, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000 |
Kathryn E. Ganhewa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 East Main St., Suite A, Radford, VA 24141 Phone: 540-731-3603 |
Tammy Davidson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000 Fax: 540-904-0051 |
Glenn Moore Mathews, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E Main St, Suite C, Radford, VA 24141 Phone: 540-731-0838 Fax: 540-731-3375 |
Maura Lesko, LPC Counselor Medicare: Medicare Enrolled Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000 Fax: 540-904-0051 |
Jessica Overturf, LPC Counselor Medicare: Medicare Enrolled Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000 |