| Doctor Name: | LOREE KAY LEROUX |
| NPI Number: | 1104876267 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | |
| Business Practice Address: | 713 Anderson Avenue St Cloud Hospital Recovery Plus St Cloud, MN - 56303 |
| Business Phone Number: | 3202293761 |
| Business Fax Number: | 3202293763 |
| Mailing Address: | 1406 6th Avenue North, St Cloud Hospital ST CLOUD |
| State: | MN |
| Postal Code: | 563031901 |
| Phone Number: | 3202512700 |
| Fax Number: | 3202295109 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 09/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |