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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. COLTER BLOXOM, LPC

Active Sole Proprietor

MR. COLTER BLOXOM, LPC is a Mental Health Counselor healthcare provider located in PHOENIX, Arizona. NPI 1336780329 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PHOENIX, AZ

Registration Details

NPI Number
1336780329
Provider Type
Individual
Gender
Male
NPI Issued
Oct 1, 2019 (6.8541419454359 yrs)
Last Updated
Oct 1, 2019
License
18381 (AZ)
Sole Proprietor
Yes

Practice Information

Address
3420 E SHEA BLVD STE 188
PHOENIX, AZ, 850283354
Browse AZ providers · Browse ZIP 85028
Phone
6025296557
Fax
4804857938
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in PHOENIX, AZ

Name Credential NPI
BARRY OBLAS MSW 1801880877
MR. ADDAM LEE GROSS MC, LPC 1164419313
MR. BEN HEDBERG LPC 1134117823
JOAN EILEEN GALE LCSW 1497744346
DONALD L KOONCE LCSW 1689652505
MR. TRAVIS EUGENE FRYE LPC 1366410029
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.