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Organization

VAILLANCOURT ASSOCIATES LLC DBA ALAMEDA MARRIAGE AND FAMILY THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KOURTNEY T. VAILLANCOURT LMFT, LADAC, CFLE (CEO)
(575) 405-7146
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0109041
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80302386
NM
Enumeration date
05/31/2013
Last updated
10/09/2025
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