Leroy John Klassen
Leroy John Klassen is a Peer Specialist in Ganado, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2023
Practice location Address checks out
Sr 264 & Hwy 191Ganado, AZ 86505
Phone: (928) 755-4694
Fax: (928) 755-4747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence UA2022082508 (AZ) |
|---|
Record details
| NPI number | 1669162715 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2023 |
| Last updated in NPPES | May 17, 2023 |
| Certification date | May 17, 2023 |
| Mailing address | Po Box 176, Ganado, AZ 86505-0176 |
Other providers in Ganado
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Michelle Carmen Dale
Sr 264 & Hwy 191, Ganado, AZ 86505 · (928) 755-4586