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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEROY JIM, LPCC, CRC

Active

LEROY JIM, LPCC, CRC is a Professional Counselor healthcare provider located in GALLUP, New Mexico. NPI 1063627354 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · GALLUP, NM

Registration Details

NPI Number
1063627354
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2007 (19.246798829647 yrs)
Last Updated
Jun 15, 2016
Licenses
00056257
0146941 (NM)

Practice Information

Address
2025 E AZTEC AVE
GALLUP, NM, 873014803
Browse NM providers · Browse ZIP 87301
Phone
5058633828
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in GALLUP, NM

Name Credential NPI
DOUGLAS JOHN LINDSEY LMSW, LPCC 1699701821
MRS. NANCY KAY YATES-EAMICK NCC, LPC, LPCC 1881603181
TAMMY TSOSIE LPCC 1033327630
MS. VERA D JOHN LPCC 1073707600
FAE M EPALOOSE LPCC 1841460664
ELIZABETH TERRILL LPCC 1790009553
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.