JEANNE PROVENCIO

LAS CRUCES, NM
NPI1629061783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NM  0529)
Enumeration Date2005-08-24
Last Update Date2007-07-08
Business Address
JEANNE PROVENCIO LPCC
505 S MAIN ST STE. 129
LAS CRUCES, NM 88001-1206
Phone number: 505-525-5644
Mailing Address
JEANNE PROVENCIO LPCC
505 S MAIN ST STE. 129
LAS CRUCES, NM 88001-1206
Phone number: 505-525-5644
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