Provider Demographics
NPI:1407930324
Name:STRANDBERG, DONNA K (LPCC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:K
Last Name:STRANDBERG
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MS
Other - First Name:D.
Other - Middle Name:KIMBERLY
Other - Last Name:STRANDBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC
Mailing Address - Street 1:208 3RD ST SE
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56278-1570
Mailing Address - Country:US
Mailing Address - Phone:701-491-9502
Mailing Address - Fax:
Practice Address - Street 1:208 3RD ST SE
Practice Address - Street 2:
Practice Address - City:ORTONVILLE
Practice Address - State:MN
Practice Address - Zip Code:56278-1570
Practice Address - Country:US
Practice Address - Phone:701-491-8502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND559-9-1-06A101Y00000X
SDLPC-MH30548101YM0800X
ND865-2-1-16-251101YP2500X
MNCC00708101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health