Leroy Jim
Rehabilitation Counselor Professional Counselor
2025 E Aztec Ave
Gallup
, New Mexico 87301-4803
Leroy Jim
Rehabilitation Counselor Professional Counselor
2025 E Aztec Ave
Gallup
, New Mexico 87301-4803
(505) 863-3828
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About
Features
Specialties
- Professional Counselor
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Leroy Jim
- 2025 E Aztec Ave
- Gallup, NM
- Zip : 87301-4803
- Phone : (505) 863-3828
Second Address
- Leroy Jim
- 2025 E Aztec Ave
- Gallup, NM
- Zip : 87301-4803
- Phone : (505) 863-3828
Reviews
FAQs
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Is Leroy Jim board certified?
What type of doctor is Leroy Jim
In what state does Leroy Jim practice in?
Where is Leroy Jim ’s practice located?
What is Leroy Jim ’s gender?
Is Leroy Jim a sole practitioner?
Is Leroy Jim accepting new patients?
What languages does Leroy Jim speak?
Does Leroy Jim accept insurance?
Does Leroy Jim offers telemedicine?
What is Leroy Jim ’s professional license number?
What is Leroy Jim ’s NPI number?
Does Leroy Jim have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 0146941 | NM |
| N | 225C00000X | Rehabilitation Counselor | 00056257 |
National Provider Identifier
| NPI | 1063627354 |
|---|---|
| Provider Name | Leroy Jim |
| First Address | Gallup, NM 87301-4803 |
| Second Address | Gallup, NM 87301-4803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2007 |
| Last Update Date | 15/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 43929842 | (05) | NM |
| 76986063 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.