| Doctor Name: | RENEE K BLANCHARD |
| NPI Number: | 1477588739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, SAC |
| License Number: | 14542 |
| Business Practice Address: | 212 S 11th Street Lacrosse, WI - 546014116 |
| Business Phone Number: | 6083929555 |
| Business Fax Number: | 6083929432 |
| Mailing Address: | 700 West Ave S, Attn Physician Services LA CROSSE |
| State: | WI |
| Postal Code: | 546014783 |
| Phone Number: | 6083924156 |
| Fax Number: | 6083929898 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 04/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 14542 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |