Provider Demographics
NPI:1598387706
Name:STRAHLENBACH, CHRISTOPHER W (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:W
Last Name:STRAHLENBACH
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:W
Other - Last Name:BOYLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LHMC
Mailing Address - Street 1:619 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BRAINERD
Mailing Address - State:MN
Mailing Address - Zip Code:56401-4146
Mailing Address - Country:US
Mailing Address - Phone:218-316-0079
Mailing Address - Fax:
Practice Address - Street 1:13045 FALCON DR STE 100
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-4201
Practice Address - Country:US
Practice Address - Phone:218-829-9307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-11
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60201099101YM0800X
MNCC02166101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health