Provider Demographics
NPI:1215498209
Name:OXFORD, BLAIR (LPC)
Entity type:Individual
Prefix:
First Name:BLAIR
Middle Name:
Last Name:OXFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8817 BAINBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-8331
Mailing Address - Country:US
Mailing Address - Phone:205-903-4772
Mailing Address - Fax:
Practice Address - Street 1:8817 BAINBRIDGE DR
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-8331
Practice Address - Country:US
Practice Address - Phone:251-304-9317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-31
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2915101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor