| Doctor Name: | LEROY JIM |
| NPI Number: | 1063627354 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC, CRC |
| License Number: | 00056257 |
| Business Practice Address: | 2025 E Aztec Ave Gallup, NM - 873014803 |
| Business Phone Number: | 5058633828 |
| Business Fax Number: | |
| Mailing Address: | Po Box 645, ST MICHAELS |
| State: | AZ |
| Postal Code: | 865110645 |
| Phone Number: | 9288715409 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 06/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225C00000X |
| License Number: | 00056257 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Counselor |
| Taxonomy Specialization: | |
| Taxonomy 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 |