Provider Demographics
NPI:1235297060
Name:STRACHAN, JO ANN (LAMFT, LPC)
Entity Type:Individual
Prefix:
First Name:JO ANN
Middle Name:
Last Name:STRACHAN
Suffix:
Gender:F
Credentials:LAMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 MEADOWVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-2455
Mailing Address - Country:US
Mailing Address - Phone:952-854-7629
Mailing Address - Fax:952-854-6614
Practice Address - Street 1:5009 EXCELSIOR BLVD STE 130
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-3049
Practice Address - Country:US
Practice Address - Phone:612-812-7235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00333101YP2500X
MN1411106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist