Provider Demographics
NPI:1780383174
Name:LAFLEUR, RENEE (MS, EDS, CSAC)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:LAFLEUR
Suffix:
Gender:F
Credentials:MS, EDS, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 W LAYTON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-4563
Mailing Address - Country:US
Mailing Address - Phone:414-930-9210
Mailing Address - Fax:
Practice Address - Street 1:6510 W LAYTON AVE STE 101
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4563
Practice Address - Country:US
Practice Address - Phone:414-930-9210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2015-132101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)