# VAILLANCOURT ASSOCIATES LLC DBA ALAMEDA MARRIAGE AND FAMILY THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063859015
- **Authorized official:** DR. KOURTNEY T. VAILLANCOURT LMFT, LADAC, CFLE (CEO)
- **Authorized official phone:** (575) 405-7146

## Contact information

- **Practice address:** 304 W GRIGGS AVE STE C, LAS CRUCES, NM 88005-2603
- **Practice address phone:** (575) 405-7146
- **Practice address fax:** (575) 405-5446
- **Mailing address:** 619 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2130
- **Mailing address phone:** (575) 405-7146
- **Mailing address fax:** (575) 405-5446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0109041 | NM | Yes |

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 10/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 80302386 | — | NM |