Provider Demographics
NPI:1447734470
Name:LAFRANCE, LEANE MARIE (LADC, ADCR-MN)
Entity Type:Individual
Prefix:MRS
First Name:LEANE
Middle Name:MARIE
Last Name:LAFRANCE
Suffix:
Gender:F
Credentials:LADC, ADCR-MN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 30TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-5147
Mailing Address - Country:US
Mailing Address - Phone:701-566-9965
Mailing Address - Fax:218-600-5488
Practice Address - Street 1:1606 30TH AVE S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-5147
Practice Address - Country:US
Practice Address - Phone:701-566-9965
Practice Address - Fax:218-600-5488
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-15
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN304605101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)