Individual
NICHOLAS BLOXSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 W MARKET ST, AKRON, OH 44303-1465
(330) 762-5425
Mailing address
640 W MARKET ST, AKRON, OH 44303-1465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2002866-T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2002866-T
COUNSELOR IN TRAINING
OH
Enumeration date
07/12/2021
Last updated
07/12/2021
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