Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANNE PROVENCIO, LPCC
Active Sole ProprietorJEANNE PROVENCIO, LPCC is a Mental Health Counselor healthcare provider located in LAS CRUCES, New Mexico. NPI 1629061783 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LAS CRUCES, NM
Registration Details
- NPI Number
- 1629061783
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2005 (20.933896298091 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0529 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 S MAIN STSTE. 129LAS CRUCES, NM, 880011206Browse NM providers · Browse ZIP 88001
- Phone
- 5055255644
- Fax
- 5056472010
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| MR. LOUIE CARRERAS ATENCIO | LPCC, LADAC | 1588618649 |
| MRS. PEARL ANN TRUJILLO MACDONALD | LPCC | 1124056833 |
| MR. WILLIAM MIDDENDORF | MA LPCC | 1841223336 |
| DR. NORBERT WILLIAM GASKINS | PH.D. LPCC | 1225045347 |
| MR. EDWARD G. KRUIS | CMHC | 1548279409 |
| DR. LAURA A GORDON | PH.D. | 1164434262 |
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.