MEDICARE: LAFLEUR COUNSELING & WELLNESS, LICENSED CLINICAL SOCIAL WORKER P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1801764089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAFLEUR COUNSELING & WELLNESS, LICENSED CLINICAL SOCIAL WORKER P.C.

Provider Business Mailing Address
First Line	:	7169 MOHAWK ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-1842
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2254 SAN DIEGO AVE OFC 6
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-2944
Country	:	US
Telephone Number	:	503-975-8936
Fax Number	:

Authorized Official
Title or Position	:	LCSW
Name	:	SUZANNE LAFLEUR
Credential	:
Telephone Number	:	503-975-8936

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/28/2025

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