| Corina Preciado, LSAA | |
|
760 N Motel Blvd, Las Cruces, NM 88007-4169 | |
| (575) 527-7975 | |
| (575) 674-2861 |
| Full Name | Corina Preciado |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 15 Years |
| Location | 760 N Motel Blvd, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598088619 | NPI | - | NPPES |
| 64153274 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CSA0219721 (New Mexico) | Primary |
| 101YM0800X | Counselor - Mental Health | T0147321 (New Mexico) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Clinica De Familia, Incorporated | 6305745191 | 60 |
| Entity Name | La Clinica De Familia, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Corina Preciado, LSAA 385 Calle De Alegra Ste A, Las Cruces, NM 88005-3423 Ph: (575) 526-1105 | Corina Preciado, LSAA 760 N Motel Blvd, Las Cruces, NM 88007-4169 Ph: (575) 527-7975 |
Dr. Kourtney T. Vaillancourt, PH.D, LMFT, LADAC Counselor Medicare: Medicare Enrolled Practice Location: 619 N Alameda Blvd, Las Cruces, NM 88005 Phone: 575-405-7146 Fax: 575-405-5446 | |
Mrs. Nicole S Harvey-navarro, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 350 El Molino Blvd, Las Cruces, NM 88005 Phone: 575-323-8900 Fax: 575-267-6228 | |
Kaitlyn Mead, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 W Griggs Ave, Las Cruces, NM 88001 Phone: 575-647-2800 Fax: 575-647-2898 | |
Sasha V Ponce, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 S Miranda St, Las Cruces, NM 88005 Phone: 575-647-2800 Fax: 575-647-2898 | |
Debra Lynn Peterson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 W Griggs Ave, Las Cruces, NM 88005 Phone: 575-525-9221 | |
Samiah Rowshan Rahman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 S Triviz Dr Ste G, Las Cruces, NM 88001 Phone: 575-449-3554 | |
Ms. Joyce Ann Eller, M.ED., LED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3036 Hillrise Dr, Las Cruces, NM 88011 Phone: 505-496-6943 |