Kourtney T. Vaillancourt in Las Cruces - Addiction (substance Use Disorder)
Kourtney T. Vaillancourt - NPI 1003009432
Kourtney T. Vaillancourt is a Addiction (substance Use Disorder) in Las Cruces, New Mexico. Kourtney T. Vaillancourt practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kourtney T. Vaillancourt is 1003009432. The last update date is 2023-11-16.
Kourtney T. Vaillancourt's current location address is 619 N Alameda Blvd, Las Cruces, New Mexico. You can contact this provider via phone number 5754057146 and fax number 5754055446. The mailing address for Kourtney T. Vaillancourt is 619 N Alameda Blvd, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kourtney T. Vaillancourt |
|---|---|
| Address | 619 N Alameda Blvd, Las Cruces, New Mexico |
| Phone Number | 5754057146 |
| Fax Number | 5754055446 |
| Sole Proprietor | Y |
| Credentials | PH.D, LMFT |
NPI Number Detail
| NPI Number | 1003009432 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2023-11-16 |
Provider Mailing Address Detail
| Address | 619 N Alameda Blvd |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880052130 |
| Phone Number | 5754057146 |
| Fax Number | 5754055446 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 109031 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80302386 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kourtney T. Vaillancourt by the Centers for Medicare & Medicaid Services?
The Kourtney T. Vaillancourt has been assigned the NPI (National Provider Identifier) 1003009432. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kourtney T. Vaillancourt's facilities are situated?
The facilities of Kourtney T. Vaillancourt are physically located at the following address: 619 N Alameda Blvd, Las Cruces, NM, 880052130.
What is Kourtney T. Vaillancourt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kourtney T. Vaillancourt's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003009432 to Kourtney T. Vaillancourt?
The Centers for Medicare & Medicaid Services originally issued the 1003009432 to Kourtney T. Vaillancourt on 2007-08-20.
As of what date were the details related to Kourtney T. Vaillancourt most recently updated or revised?
The information pertaining to Kourtney T. Vaillancourt, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-16.