person
Mr. Colter Bloxom, LPC
Mental Health Counselor in Phoenix, Arizona
NPI 1336780329

Colter Bloxom is a Mental Health Counselor based in Phoenix, AZ and is specialized in Mental Health. Colter Bloxom practices in Phoenix, AZ and has the professional credentials of LPC. The NPI Number for Colter Bloxom is 1336780329 and holds a License No. 18381 (Arizona).

The current practice location address for Colter Bloxom is 3420 E Shea Blvd Ste 188, Phoenix, AZ and can be reached out via phone at 602-529-6557 and via fax at 480-485-7938.

Location: 3420 E Shea Blvd Ste 188, Phoenix, AZ, 85028-3354
person
Provider Profile Details
NPI Number
1336780329
Provider Name
Colter Bloxom
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3420 E Shea Blvd Ste 188, Phoenix, AZ, 85028-3354
Phone Number
602-529-6557
Fax Number
480-485-7938
Provider Enumeration Date
10/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3420 E Shea Blvd Ste 188
City
State
Zip
85028-3354
Phone Number
602-529-6557
Fax Number
480-485-7938
person
Provider Business Mailing Address Details
Address
3420 E Shea Blvd Ste 188
City
State
Zip
85028-3354
Phone Number
602-529-6557
Fax Number
480-485-7938
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
18381 (Arizona)
Definition
Definition to come...
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