Leroy Jim is a Gallup, New Mexico based counselor who is specialized as Counselor. Active license number of Leroy Jim is 0146941 for Professional Counselor in New Mexico. His current practice location is 2025 E Aztec Ave, Gallup. Patients can book an appointment with him at 505-863-3828.
Leroy Jim is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. He works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. He support his clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Leroy Jim speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Leroy Jim
Specialization:
Counselor
Gender:
Male
Credentials:
LPCC, CRC
Accepts Medicare Assignment:
No
Practice Address:
2025 E Aztec Ave, Gallup, New Mexico, 87301-4803
Phone:
505-863-3828
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1063627354
NPI Enumeration Date:
11 May, 2007
NPI Last Update On:
15 Jun, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Leroy Jim are as mentioned below.
License Number
Specialization
State
Status
0146941
Professional Counselor
New Mexico
Primary
00056257
Rehabilitation Counselor
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Leroy Jim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
43929842
Medicaid
New Mexico
76986063
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2025 E Aztec Ave, Gallup, New Mexico
Zip:
87301-4803
Phone Number:
505-863-3828
Patients can reach Leroy Jim at 2025 E Aztec Ave, Gallup, New Mexico or can call to book an appointment on 505-863-3828. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.