Dr. Kourtney T. Vaillancourt
Mental Health Counselor Addiction Counselor (Substance Use Disorder)
619 N Alameda Blvd
Las Cruces
, New Mexico 88005-2130
Dr. Kourtney T. Vaillancourt
Mental Health Counselor Addiction Counselor (Substance Use Disorder)
619 N Alameda Blvd
Las Cruces
, New Mexico 88005-2130
(575) 525-5637
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Dr. Kourtney T. Vaillancourt
- 505 S Main St 129 Loretto Towne Centre
- Las Cruces, NM
- Zip : 88001-1206
- Fax : (575) 525-5637
- Phone : (575) 525-5644
Second Address
- Dr. Kourtney T. Vaillancourt
- 619 N Alameda Blvd
- Las Cruces, NM
- Zip : 88005-2130
- Fax : (575) 405-5446
- Phone : (575) 405-7146
Reviews
FAQs
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In what state does Dr. Kourtney T. Vaillancourt practice in?
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What is Dr. Kourtney T. Vaillancourt ’s gender?
Is Dr. Kourtney T. Vaillancourt a sole practitioner?
Is Dr. Kourtney T. Vaillancourt accepting new patients?
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Does Dr. Kourtney T. Vaillancourt have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 0109031 | NM |
| N | 101YM0800X | Mental Health Counselor | 0102221 | NM |
National Provider Identifier
| NPI | 1003009432 |
|---|---|
| Provider Name | Dr. Kourtney T. Vaillancourt |
| First Address | Las Cruces, NM 88001-1206 |
| Second Address | Las Cruces, NM 88005-2130 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2007 |
| Last Update Date | 30/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 80302386 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.