| Doctor Name: | MRS. CAROLE M ST.LAURENT-GROVES |
| NPI Number: | 1023020377 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2704-125 |
| Business Practice Address: | 1325 Angels Path Rd De Pere, WI - 541154050 |
| Business Phone Number: | 9203382855 |
| Business Fax Number: | 9203389270 |
| Mailing Address: | 1325 Angels Path Rd, DE PERE |
| State: | WI |
| Postal Code: | 541154050 |
| Phone Number: | 9203382855 |
| Fax Number: | 9203389270 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 01/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2704-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |