Provider Demographics
NPI:1629600689
Name:STRAFELDA, MICHELLE ROSE (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ROSE
Last Name:STRAFELDA
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:ROSE
Other - Last Name:STRAFELDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPCC
Mailing Address - Street 1:843 ASHLAND AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-7122
Mailing Address - Country:US
Mailing Address - Phone:651-734-8708
Mailing Address - Fax:
Practice Address - Street 1:1875 STATION PKWY NW
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-3319
Practice Address - Country:US
Practice Address - Phone:763-482-9598
Practice Address - Fax:612-235-6447
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2387101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional