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Leroy John Klassen
Peer Specialist in Ganado, Arizona
NPI 1669162715

Leroy John Klassen is a Peer Specialist based in Ganado, AZ. Leroy John Klassen practices in Ganado, AZ. The NPI Number for Leroy John Klassen is 1669162715 and holds a License No. UA2022082508 (Arizona).

The current practice location address for Leroy John Klassen is Sr 264 & Hwy 191, Ganado, AZ and can be reached out via phone at 928-755-4694 and via fax at 928-755-4747.

Location: Sr 264 & Hwy 191, Ganado, AZ, 86505-0176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669162715
Provider Name
Leroy John Klassen
Credential
Provider Entity Type
Individual
Gender
Male
Address
Sr 264 & Hwy 191, Ganado, AZ, 86505-0176
Phone Number
928-755-4694
Fax Number
928-755-4747
Provider Enumeration Date
05/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Sr 264 & Hwy 191
City
Ganado
State
Arizona
Zip
86505
Phone Number
928-755-4694
Fax Number
928-755-4747
person
Provider Business Mailing Address Details
Address
Sr 264 & Hwy 191
City
Ganado
State
Arizona
Zip
86505
Phone Number
928-755-4694
Fax Number
928-755-4747
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
UA2022082508 (Arizona)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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