Search › New Mexico › Mental Health Counselor
Jeanne Provencio, LPCC
NPI 1629061783 · on the registry since 2005 · sole proprietor
Practice
- Address
- 505 S Main St
Ste. 129
Las Cruces, NM 88001 - Phone
- (505) 525-5644
- Fax
- (505) 647-2010
- Organisation at this address
- Nevcam Works Corporation
Las Cruces School District No. 2
Centerwell Certified Healthcare Corp.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 339
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico