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

Justin Lawrence Blackburn, CDCA

Individual provider Mental Health Counselor · NPI 1710716451

Justin Lawrence Blackburn, CDCA is a Mental Health Counselor in Mc Dermott, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

7175 State Route 104
Mc Dermott, OH 45652-8899
Phone: (740) 858-6683
Show map & directions

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

Additional practice locations (1)

  • 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652-3902 — (740) 858-6683

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.194030 (OH)
Mental Health Counselor Taxonomy 101YM0800X (OH)

Record details

NPI number1710716451
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedJuly 31, 2024
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Other providers in Mc Dermott