Individual provider
DR. KOURTNEY T. VAILLANCOURT, PH.D, LMFT, LADAC
CMS NPPES lists DR. KOURTNEY T. VAILLANCOURT as an individual provider record with NPI 1003009432. The current record reports a primary practice location in LAS CRUCES, NM and primary taxonomy code 106H00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location619 N ALAMEDA BLVDLAS CRUCES, NM 880052130
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
101YA0400XAdditional reported taxonomy101YM0800XAdditional reported taxonomy106H00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- August 20, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.