| Doctor Name: | MARCIE L STRESEMANN |
| NPI Number: | 1003915935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC 103 |
| Business Practice Address: | 7260 University Ave Ne Suite 235 Fridley, MN - 554323126 |
| Business Phone Number: | 7635722605 |
| Business Fax Number: | 7635722606 |
| Mailing Address: | 27775 112th St, ZIMMERMAN |
| State: | MN |
| Postal Code: | 553989458 |
| Phone Number: | 7638564131 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC 103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |