Individual provider · Type 1 NPI

Jeanne Provencio, LPCC

Mental Health Counselor · Las Cruces, NM

NPI number 1629061783 Active

Practice location

505 S Main St, Ste. 129
Las Cruces, NM 88001-1206

Fax (505) 647-2010

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0529 (NM)

Mental Health Counselor: Definition to come...

131 other providers at this address

Other mental health counselor providers in Las Cruces

See all in Las Cruces →

About NPI 1629061783

Jeanne Provencio, LPCC's National Provider Identifier is 1629061783, issued on Aug 24, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Cruces, NM. The record was last updated on Jul 8, 2007.