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

Blake Stuart Burdack

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518880996

Blake Stuart Burdack is an Addiction (Substance Use Disorder) Counselor in Radford, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

309 10th St
Radford, VA 24141-3007
Phone: (540) 818-9989
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0704018988 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0709027011 (VA)

Record details

NPI number1518880996
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 2, 2026