Leroy John Klassen Valid NPI
Individual provider · Peer Specialist · Ganado, AZ
- NPI
- 1669162715
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- License number
- UA2022082508 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-05-11
- Last updated
- 2023-05-17
Practice location
Sr 264 & Hwy 191
Ganado, AZ 86505
(928) 755-4694