Provider Demographics
NPI:1578807384
Name:OXTON, ADRIAN R (MA)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:R
Last Name:OXTON
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8791
Mailing Address - Country:US
Mailing Address - Phone:218-329-1762
Mailing Address - Fax:800-854-6944
Practice Address - Street 1:1770 25TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4947
Practice Address - Country:US
Practice Address - Phone:970-310-3406
Practice Address - Fax:800-854-6944
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0011495101YP2500X
COACD.0000564101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)