NPI
Leroy Jim
NPI 1063627354
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- LPCC, CRC
- Type
- Individual
- Enumeration date
- 2007-05-11
- Last updated
- 2016-06-15
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Specialties
Licenses
- License 1
- 00056257
- License NM
- 0146941
Location
- Practice location
- 2025 E Aztec Ave
- City
- Gallup NM
- Postal code
- 87301-4803
- Phone
- (505) 863-3828
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Professional Counselors in Gallup, NM. 10 with this primary taxonomy in the public file.
Other NPIs in Gallup, NM. 2,281 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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