Organization
GALLUP MCKINLEY COUNTY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LEE CHLUMSKY LPCC, (SCHOOL PSYCHOLOGIST)
(505) 722-4015
Entity
Organization
Contact information
Practice address
700 S BOARDMAN AVE, GALLUP, NM 87301-4707
(505) 721-1299
Mailing address
607 ZECCA DR, GALLUP, NM 87301-4848
(505) 722-4015
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
254414
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238
CLINICAL MENTAL HEALTH CO
NM
05
—
61486787
—
NM
Enumeration date
03/19/2007
Last updated
08/22/2020
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