Leroy Jim, LPCC, CRC
NPI #1063627354 in Gallup, New Mexico
Provider Information
- NPI Number
- 1063627354
- Entity Type
- Individual
- Name
- Leroy Jim, LPCC, CRC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC, CRC
- Enumeration Date
- May 11, 2007
- Last Updated
- Jun 15, 2016
Practice Location
- Address
- 2025 E AZTEC AVE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-4803
- Phone
- (505) 863-3828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Counselor |
| Counselor - Professional — Professional |
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