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Leroy Jim, LPCC,CRC
Professional Counselor in Gallup, New Mexico
NPI 1063627354

Leroy Jim is a Professional Counselor based in Gallup, NM and is specialized in Professional. Leroy Jim practices in Gallup, NM and has the professional credentials of LPCC,CRC. The NPI Number for Leroy Jim is 1063627354 and holds a License No. 00056257 (New Mexico).

The current practice location address for Leroy Jim is 2025 E Aztec Ave, Gallup, NM and can be reached out via phone at 505-863-3828.

Location: 2025 E Aztec Ave, Gallup, NM, 87301-4803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063627354
Provider Name
Leroy Jim
Credential
LPCC,CRC
Provider Entity Type
Individual
Gender
Male
Address
2025 E Aztec Ave, Gallup, NM, 87301-4803
Phone Number
505-863-3828
Fax Number
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43929842 05 NM
76986063 05 NM
institution
Provider Business Practice Location Address Details
Address
2025 E Aztec Ave
City
Gallup
State
New Mexico
Zip
87301-4803
Phone Number
505-863-3828
Fax Number
person
Provider Business Mailing Address Details
Address
2025 E Aztec Ave
City
Gallup
State
New Mexico
Zip
87301-4803
Phone Number
505-863-3828
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0146941 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Counselor
Speciality
-
Taxonomy
225C00000X
License No.
00056257 ()
Definition
An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.
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