Doctor Name: | MS. DAWN HOFSTAD STROMMEN |
NPI Number: | 1376626119 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LP3451 |
Business Practice Address: | 1485 81st Ave Ne Spring Lake Park, MN - 554322111 |
Business Phone Number: | 7637803036 |
Business Fax Number: | |
Mailing Address: | 332 Dunham Dr, ANOKA |
State: | MN |
Postal Code: | 553031125 |
Phone Number: | 7344271075 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LP3451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |