Whalio Doctors

NPI 1003009432

Kourtney T. Vaillancourt, PHDLMFTLADAC

Practitioner Marriage & Family Therapist Las Cruces, NM

Practice location

Address
619 N Alameda Blvd, Las Cruces, NM 88005-2130
Phone
(575) 405-7146
Fax
(575) 405-5446

Registered specialties (3)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 0109041 (NM)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 0109031 (NM)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 0102221 (NM)

Registry record

NPI
1003009432
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Aug 2007
Record last updated
16 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.