Provider Demographics
NPI:1265836829
Name:STROM, AMBER MARIE (LPCC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:STROM
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:MARIE
Other - Last Name:AASEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29210 151ST ST NW
Mailing Address - Street 2:
Mailing Address - City:ZIMMERMAN
Mailing Address - State:MN
Mailing Address - Zip Code:55398-4540
Mailing Address - Country:US
Mailing Address - Phone:320-267-5938
Mailing Address - Fax:
Practice Address - Street 1:101 18TH AVE N
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MN
Practice Address - Zip Code:55371-4756
Practice Address - Country:US
Practice Address - Phone:320-983-2335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00867101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health