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Jeanne Provencio, LPCC
Mental Health Counselor in Las Cruces, New Mexico
NPI 1629061783

Jeanne Provencio is a Mental Health Counselor based in Las Cruces, NM and is specialized in Mental Health. Jeanne Provencio practices in Las Cruces, NM and has the professional credentials of LPCC. The NPI Number for Jeanne Provencio is 1629061783 and holds a License No. 0529 (New Mexico).

The current practice location address for Jeanne Provencio is 505 S Main St, Las Cruces, NM and can be reached out via phone at 505-525-5644 and via fax at 505-647-2010.

Location: 505 S Main St, Las Cruces, NM, 88001-1206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629061783
Provider Name
Jeanne Provencio
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
505 S Main St, Las Cruces, NM, 88001-1206
Phone Number
505-525-5644
Fax Number
505-647-2010
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
505 S Main St
City
Las Cruces
State
New Mexico
Zip
88001-1206
Phone Number
505-525-5644
Fax Number
505-647-2010
person
Provider Business Mailing Address Details
Address
505 S Main St
City
Las Cruces
State
New Mexico
Zip
88001-1206
Phone Number
505-525-5644
Fax Number
505-647-2010
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0529 (New Mexico)
Definition
Definition to come...
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