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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KOURTNEY T. VAILLANCOURT, PH.D, LMFT, LADAC

Active Sole Proprietor

DR. KOURTNEY T. VAILLANCOURT, PH.D, LMFT, LADAC is a Marriage & Family Therapist healthcare provider located in LAS CRUCES, New Mexico. NPI 1003009432 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · LAS CRUCES, NM

Registration Details

NPI Number
1003009432
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2007 (18.978796061296 yrs)
Last Updated
Nov 16, 2023
Licenses
0109031 (NM)
0102221 (NM)
0109041 (NM)
Sole Proprietor
Yes

Practice Information

Address
619 N ALAMEDA BLVD
LAS CRUCES, NM, 880052130
Browse NM providers · Browse ZIP 88005
Phone
5754057146
Fax
5754055446
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in LAS CRUCES, NM

Name Credential NPI
MISS DIANE FERRALES LMFT 1104835008
DR. ROBERT LOUIS DEL CAMPO PH.D. 1134225279
MS. MARY THERESE GUTIERREZ 1952517344
MARIA LAQUERRE MA 1699983874
SHARON STEINBORN M.A. 1164632121
DR. DAVID A. BAPTISTE PH.D. 1013127448
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.