Jeanne Provencio, LPCC
NPI #1629061783 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1629061783
- Entity Type
- Individual
- Name
- Jeanne Provencio, LPCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPCC
- Enumeration Date
- Aug 24, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 505 S MAIN ST
- Address 2
- STE. 129
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001-1206
- Phone
- (505) 525-5644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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