Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandy Lynn Blackwell, CADC1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639716525

Brandy Lynn Blackwell, CADC1 is an Addiction (Substance Use Disorder) Counselor in Coburg, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

91150 N Coburg Industrial Way
Coburg, OR 97408-1313
Phone: (541) 284-5673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 19-P-15 (OR)

Record details

NPI number1639716525
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC1
Sole proprietorNo
NPI enumeratedDecember 10, 2019
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

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