Individual provider · Type 1 NPI

Kourtney T. Vaillancourt, PhD, LMFT, LADAC

Marriage & Family Therapist · Las Cruces, NM

NPI number 1003009432 Active

Practice location

619 N Alameda Blvd
Las Cruces, NM 88005-2130

Fax (575) 405-5446

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	0109031 (NM)
Mental Health Counselor	101YM0800X	0102221 (NM)
Marriage & Family Therapist Primary	106H00000X	0109041 (NM)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1003009432

Kourtney T. Vaillancourt, PhD, LMFT, LADAC's National Provider Identifier is 1003009432, issued on Aug 20, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Las Cruces, NM. The record was last updated on Nov 16, 2023.