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

Individual provider Mental Health Counselor · NPI 1336780329

Mr. Colter Bloxom, LPC is a Mental Health Counselor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3420 E Shea Blvd Ste 188
Phoenix, AZ 85028-3354
Phone: (602) 529-6557
Fax: (480) 485-7938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 18381 (AZ)

Record details

NPI number1336780329
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 1, 2019
Last updated in NPPESOctober 1, 2019

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