| Doctor Name: | RENEE LAFRINIERE |
| NPI Number: | 1083068043 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | CC01200 |
| Business Practice Address: | 40520 County Highway 34 Ogema, MN - 565699612 |
| Business Phone Number: | 2189833286 |
| Business Fax Number: | 2189363213 |
| Mailing Address: | 178 Meadow Ln Apt 308, DETROIT LAKES |
| State: | MN |
| Postal Code: | 565012464 |
| Phone Number: | 2189833286 |
| Fax Number: | 2189363213 |
| NPI Enumeration Date: | 04/15/2016 |
| NPI Last Update Date: | 04/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CC01200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |